活血散冰敷对冻结肩臂丛麻醉下手法松解术后疼痛的改善作用  

Improving Effect of Ice Compress with Huoxue Powder for Postoperative Pain Due to Release Manipulation for Frozen Shoulder Under Brachial Plexus Anesthesia

作　　者：巴婷 王睿[1] 詹强[1] 王宝玉[1] 成慧娣 

机构地区：[1]杭州市中医院,浙江杭州310007

出　　处：《新中医》2017年第9期131-133,共3页New Chinese Medicine

基　　金：杭州市科技局医疗卫生及重点专科专病科研攻关专项(20150733Q51)

摘　　要：目的:观察活血散冰敷对冻结肩臂丛麻醉下手法松解术后疼痛的改善作用。方法:纳入60例肩周炎冻结期行臂丛麻醉下手法松解的患者,随机分为对照组和观察组,每组30例。对照组行常规护理,并进行康复指导,观察组在对照组干预基础上采用活血散冰敷治疗。在术后6 h、12 h和24 h分别进行视觉模拟评分法(VAS)疼痛评分,术后5天评价总体疗效。结果:干预后6 h、12 h及24 h,观察组的VAS疼痛评分均低于对照组,差异均有统计学意义(P<0.05)。观察组的治疗效果优于对照组,差异有统计学意义(P<0.05)。结论:活血散冰敷能有效缓解冻结肩臂丛麻醉下手法松解术后引起的疼痛。Objective： To observe the clinical effect of ice compress with Huoxue powder for postoperative pain due to release manipulation under brachial plexus anesthesia. Methods： Divided 60 cases of patients with scapulohumeral periarthritis of freezing period and received release manipulation under brachial plexus anesthesia into the control group and the observation group randomly, 30 cases in each group. The control group was given routine nursing and rehabilitation guidance, while the observation group received ice compress with Huoxue powder based on the treatment of the control group. Evaluated visual analogue scale（VAS） scores after 6 hours, 12 hours and 24 hours of manipulation, and evaluated overall curative effect 5 days after manipulation. Results： VAS scores of the observation group 6 hours, 12 hours and 24 hours after manipulation were all lower than those of the control group, the differences being significant（P〈0.05）. Curative effect of the observation group was better than that of the control group, the difference being significant（P〈0.05）. Conclusion： Ice compress with Huoxue powder can effectively alleviate postoperative pain due to release manipulation under brachial plexus anesthesia.

关 键 词：肩周炎 冻结期 臂丛麻醉下手法松解术 疼痛 活血散 冰敷 

分 类 号：R684.3[医药卫生—骨科学]