2种不同治疗方法治疗粘连期肩周炎的临床疗效对比研究  

Comparative study of the clinical efficacy of two different treatments foradhesions of frozen shoulder

作　　者：颜林飞 张帅 叶东城 黎永位 

机构地区：[1]阳江市中医医院骨关节科,广东阳江529500

出　　处：《中国伤残医学》2017年第12期13-14,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：对比研究2种不同治疗方法治疗粘连期肩周炎的临床疗效.方法：将我院2013年12月~2015年12月收治的56例粘连期肩周炎患者随机分为2组,对照组28例行小针刀＋星状神经节阻滞治疗;观察组28例行局部封闭＋星状神经节阻滞＋臂丛麻醉下手法松解术治疗,比较2组治疗前后疼痛评分及肩关节功能评分.结果：治疗前,2组疼痛评分无显著差异（P〉0.05）;治疗后,2组疼痛评分较前显著降低,且观察组低于对照组（P〈0.05）.治疗前,2组肩关节功能评分无显著差异（P〉0.05）;治疗后,2组肩关节功能评分较前显著升高,且观察组明显高于对照组（P〈0.05）.结论：局部封闭、星状神经节阻滞与臂丛麻醉下手法松解术联合治疗粘连期肩周炎的临床疗效优于小针刀治疗.Objective： To compare two different methods of treatment of the clinical efficacy of blocking treatment of frozen shoulder.Methods： In our hospital in December 2013 ~ December 2015 were treated 56 cases of frozen shoulder adhesions were randomly divided into two groups, the control group, 28 cases of small knife ＋ stellate ganglion block treatment, observation group, 28 cases line partial closure ＋ ＋ stellate ganglion block brachial plexus anesthesia manipulation lysis treatment, the two groups before and after treatment of shoulder pain score and function score.Results： Before treatment, pain scores of the two groups no significant difference （P〉 0.05）;after treatment, the two groups pain score was significantly lower than before, and the observation group than the control group （P 〈0.05）.Before treatment, the two groups shoulder score was no significant difference （P〉 0.05）;after treatment, the two groups of shoulder function scores were significantly higher than before, and the observation group was significantly higher （P 〈0.05）.Conclusion：Partial closure, stellate ganglion block Efficacy and brachial plexus anesthesia techniques lysis of adhesions combination therapy is superior to frozen small knife treatment.

关 键 词：粘连期肩周炎 小针刀 局部封闭 臂丛麻醉 手法松解术 

分 类 号：R681[医药卫生—骨科学]