关节镜下冻结肩松解使用局部镇痛装置的早期疗效  

Preliminary clinical oberservation on treatment of frozhen shoulder with local analgesic influsion equipment after arthroscopic arthrolysis

作　　者：陈孙裕[1] 李坚[1] 肖展豪[1] 潘玲[1] 

机构地区：[1]厦门大学附属福州市第二医院运动损伤科,福州市350007

出　　处：《实用医学杂志》2016年第3期444-446,共3页The Journal of Practical Medicine

基　　金：福建省卫计委推广项目(编号:2014022)

摘　　要：目的:探讨局部镇痛装置对冻结肩关节镜术后患者康复的早期影响及其临床疗效。方法:自2012年2月至2014年7月对84例冻结肩患者进行临床治疗,随机分为两组:局部镇痛组、无局部镇痛组。两组患者都行关节镜下松解术,局部镇痛组在术中置入一次性局部镇痛装置,无局部镇痛组术中未置入镇痛装置,术后平均随访11.2个月,随访时间以患者术前、术后1周、1、3个月为节点,进行肩关节活动度及VAS疼痛评分,ASES肩关节功能评分评估。结果 :全部病例均获随访,组内术前、术后对比:两组术后关节活动度、VAS评分、ASES评分均较术前均有改善(P<0.05),所有病患术后肩关节疼痛缓解,活动度有所恢复。组间术后对比:术后1周时肩关节各方向的活动度、VAS评分、ASES评分,局部镇痛组优于无局部镇痛组(P<0.05),术后1月时肩关节活动度、VAS评分、ASES评分,局部镇痛组优于无局部镇痛组(P<0.05)。术后3月时肩关节活动度、ASES评分,局部镇痛组优于无局部镇痛组(P<0.05),VAS评分无明显差别(P>0.05)。结论 :局部镇痛装置能够在早期有效缓解对冻结肩术后患者疼痛,促进积极康复,达到良好的预期效果。Objective To observe tile clinical efficacies of local analgesic influsion equipment after arthroscopic arthrolysis in treating frozen shoulder. Methods 84 patients suffered from frozen shoulder were randomly divided into two groups from February 2012 to July 2014, Group one was treated with local analgesic influsion equipment, another group was not treated with it. both groups received arthroscopic arthrolysis The mean duration of follow-up was 11.2 months after operation.The range of shoulder motion, VAS and ASES scores were recorded before the operation and one week, one month, three months after the operation. Results All patients were involved, the range of shoulder motion, VAS and ASES scores improved significantly after operation（P 〈 0.05）. The differences of the range shoulder motion, ASES score after operation, the patients with local analgesic equipment improved significantly （P 〈 0.05）,but there were no significant difference of VAS scores between two groups at 3months after operation（P 〉 0.05）. Conclusion Local analgesic equipment could alleviate the pain of patients with frozen shoulder earlier and more effectively, promote recovery quickly, achieve expected effects.

关 键 词：疼痛 冻结肩 粘连性肩关节囊炎 关节镜 松解 镇痛 

分 类 号：R687.4[医药卫生—骨科学]