全关节镜下高强度缝线捆扎固定术联合和营止痛汤治疗新鲜肩锁关节脱位的效果观察  

Efficacy of Treating Fresh Acromioclavicular Joint Dislocation with Total Arthroscopic Highintensity Suture Banding and Fixed Operation Combined with Heying Zhitong Decoction

作　　者：关天雨 蒋亮 梁永豪 GUAN Tianyu;JIANG Liang;LIANG Yonghao(Yangjiang Traditional Chinese Medicine Hospital,Yangjiang 529500,China)

机构地区：[1]广东省阳江市中医医院

出　　处：《中国医学创新》2019年第33期40-44,共5页Medical Innovation of China

基　　金：广东中医药局面上科研项目(20172138)

摘　　要：目的:探讨全关节镜下高强度缝线捆扎固定术联合和营止痛汤治疗新鲜肩锁关节脱位的早期临床效果。方法:选取2017年3月-2019年5月本院手术治疗的56例新鲜肩锁关节脱位患者,采用随机数字表法将其分为中西医组和对照组,各28例。中西医组采用全关节镜下高强度缝线捆扎固定术治疗,术后第1天开始服用和营止痛汤;对照组采用传统切开复位锁骨钩钢板固定,术后常规口服塞来昔布胶囊。对比两组术后不同时间的疼痛程度评分、肩关节功能评分及肩部肌力分级。结果:两组患者均达到解剖复位的标准,在术后第1~7天,中西医组肩关节疼痛VAS评分均低于对照组,差异均有统计学意义(P<0.05);术后第6周,中西医组疼痛、肌力、日常活动、关节活动、范围评分均高于对照组,差异均有统计学意义(P<0.05);术后12周,中西医组疼痛、肌力、日常活动关节活动范围评分与对照组比较,差异均无统计学意义(P>0.05);术后12周,中西医组肩部肌力分级与对照组比较,差异无统计学意义(P>0.05)。结论:在达到良好复位的基础上,全关节镜下高强度缝线捆扎固定术联合和营止痛汤治疗新鲜肩锁关节脱位较传统切开复位锁骨钩钢板固定治疗能更好地促进肩关节功能恢复。Objective:To explore the clinical effect of total arthroscopic high-intensity suture banding and fixed operation combined with Heying Zhitong Decoction in the treatment of fresh acromioclavicular joint dislocation.Method:Fifty-six patients with fresh acromioclavicular joint dislocation who underwent surgery from March 2017 to May 2019 in our hospital were divided into the Chinese and western medicine group and the control group according to the random number table,28 cases in each group.All patients in the Chinese and western medicine group were treated with total arthroscopic high-intensity suture banding and fixed operation,from the first day after operation the Chinese and western medicine group was given Heying Zhitong Decoction.The control group was treated with traditional open reduction clavicle hook plate fixation,and Celecoxib Capsule was taken orally after operation.The pain scores,shoulder function scores and shoulder muscle grading of two groups were compared.Result:The two groups achieved the standard of anatomical reduction,the VAS scores of shoulder joint pain in the Chinese and western medicine group were lower than those in the control group from the 1st to 7th postoperative day,the differences were statistically significant(P<0.05).The 6th week after surgery,the pain,muscle strength,daily activities,and joint activity range scores in the Chinese and western medicine group were higher than those of the control group,the differences were statistically significant(P<0.05).12 weeks after surgery,there were no significant differences in pain,muscle strength,daily activities and range of joint activity between the Chinese and western medicine group and the control group(P>0.05).At 12 weeks after operation,the shoulder muscle strength of the Chinese and western medicine group was not statistically significant compared with the control group(P>0.05).Conclusion:On the basis of good reduction,total arthroscopy high-intensity suture banding and fixed operation combined with Heying Zhitong Decoction for the

关 键 词：关节镜 高强度缝线捆扎 和营止痛汤 肩锁关节脱位 

分 类 号：R68[医药卫生—骨科学]