臂丛麻醉下关节手法松解联合练功疗法治疗原发性冻结肩的临床观察  

Clinical effect analysis of manipulation release under brachial plexus anesthesia with athletic therapy for frozen shoulder

作　　者：叶勇光 史建伟 张智勉 庾广文 梁池章 霍力为 YE Yongguang;SHI Jianwei;ZHANG Zhimian;YU Guangwen;LIANG Chizhang;HUO Liwei(Guangzhou Orthopaedic Hospital,Guangzhou 510045,China;不详)

机构地区：[1]广州市正骨医院,广东广州510045

出　　处：《现代医院》2020年第7期1084-1086,共3页Modern Hospitals

摘　　要：目的观察臂丛麻醉下关节手法松解联合练功疗法治疗原发性冻结肩的临床效果。方法选取2018年9月-2019年11月本院收治的30例原发性冻结肩患者病例资料,均采用臂丛麻醉下肩关节手法松解联合练功疗法治疗。采用疼痛视觉模拟量表(VAS)评价肩部疼痛程度,采用Constant-Murley肩关节功能评分表进行评估。观察患者治疗前,治疗后1个月,治疗后3个月的评分。结果所有患者均获随访,治疗前患者VAS评分及Constant评分为(8.2±1.2)、(42.3±3.6),治疗后1个月为(3.7±1.3)、(66.7±5.4),治疗3个月后为(2.4±0.9)、(87.6±4.1)。治疗前后各指标差异有统计学意义(P<0.05),治疗后1个月与3个月比较差异无统计学意义(P>0.05)。结论臂丛麻醉下关节手法松解联合练功疗法治疗原发性冻结肩临床效果明显,该方法起效快、疗程短、费用低,值得临床推广。Objective To investigate the clinical effect of manipulation release under brachial plexus anesthesia with exercise therapy for frozen shoulder.Methods 30 cases of patients with primary frozen shoulder from September 2018 to November 2019 were released under brachial plexus anesthesia,then received athletic therapy.VAS pain score and constant score of patients were assessed and compared before and after treatment.Results All patients were followed up.The VAS score and Constant score before treatment were(8.2±1.2),(42.3±3.6),those 1 month after treatment were(3.7±1.3),(66.7±5.4),and those 3 months after treatment were(2.4±0.9),(87.6±4.1)。Comparison of the scores before and after treatment was statistically significant(P<0.05).that 1 month after treatment was no statistically significant difference compared with that 3 months after treatment(P>0.05).Conclusion The results indicate that release under brachial plexus anesthesia with exercise therapy for frozen shoulder has good outcomes.It can quickly take effect to shorten the period of treatment and reduce the cost,and is thus worthy of clinical promotion.

关 键 词：冻结肩 臂丛麻醉 手法松解 练功疗法 

分 类 号：R274.9[医药卫生—中西医结合]