臂丛麻醉下肩关节手法松解配合个性化治疗肩周炎的临床观察  

Clinical brachial plexus anesthesia shoulder manipulation solution with individualized treatment of frozen shoulder

作　　者：胡弘毅[1] 胡晨璐[2] 尉明洋[1] 

机构地区：[1]浙江省中医院麻醉科,浙江省杭州310006 [2]浙江大学医学院附属第二医院肝胆胰外科,浙江省杭州310009

出　　处：《中国基层医药》2016年第8期1204-1207,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：观察臂丛麻醉下肩关节手法松解配合个性化治疗手段治疗肩周炎的临床效果。方法选取80例肩周炎患者为观察对象，按数字表法随机分成对照组与观察组，每组各40例，对照组肩周炎患者采用臂丛麻醉下肩关节手法松解治疗，观察组肩周炎患者在对照组基础上加用个性化治疗，比较两组肩周炎患者治疗前后的关节功能评分和治愈率。结果观察组患者治疗2个月后的关节功能评分[（93．68±3．74）分]及治愈率（62．50％）明显高于对照组[（79．35±3．21）分、35．00％]（t＝1．57、3．86，χ2＝6．05，均P＜0．05）。结论臂丛麻醉下肩关节手法松解配合个性化治疗手段治疗肩周炎，效果明显，能有效恢复患者的关节功能。Objective To observe the clinical effect of brachial plexus anesthesia shoulder manipulation solution combined with individualized treatment in treatment of periarthritis of shoulder.Methods 80 patients with periarthritis of shoulder were randomly divided into control group and observation group,40 cases in each group.The control group was given brachial plexus anesthesia shoulder manipulation solution,and the observation group was given brachial plexus anesthesia shoulder manipulation solution combined with individualized treatment.Joint function score and cure rate were compared before and after treatment in the two groups.Results The joint function score [（93.68 ±3.74）] and cure rate （62.50%） of the observation group were significantly higher than those in the control group[（79.35 ±3.21）,35.00%] after 2 months treatment （t =1.57,3.86,χ2 =6.05,all P ＆lt;0.05）. Conclusion Brachial plexus anesthesia shoulder manipulation solution with individualized treatment has obvious effect in treatment of periarthritis of shoulder,and can effectively restore joint function in patients.

关 键 词：臂丛麻醉 手法松解 个性化治疗 肩周炎 

分 类 号：R614[医药卫生—麻醉学]