外展外旋自主复位法与手牵足蹬法治疗肩关节前脱位的疗效比较  

Comparative Study of Therapeutic Effect of Abduction and External Rotation Self-reduction Technique and Hippocrates Reduction Method for Treatment of Anterior Shoulder Dislocation

作　　者：欧阳崇志[1] 郑晓辉[1] 杨达文[1] 吴文正 杨锐敏 谭能贤 OUYANG Chong-Zhi;ZHENG Xiao-Hui;YANG Da-Wen;WU Wen-Zheng;YANG Rui-Min;TAN Neng-Xian(The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一附属医院,广东广州510405 [2]广州中医药大学,广东广州510405

出　　处：《广州中医药大学学报》2020年第9期1716-1719,共4页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】观察外展外旋自主复位法对肩关节前脱位的治疗效果。【方法】采用随机对照试验,将60例急性肩关节前脱位患者随机分为观察组和对照组,每组各30例。观察组采用外展外旋自主复位法治疗,对照组采用手牵足蹬复位法(Hipporacte复位法)治疗。观察2组患者复位过程中的疼痛视觉模拟量表(VAS)评分、复位时长、一次复位成功率及并发症发生情况。【结果】(1)观察组患者的一次复位成功率为70.0%(21/30),略低于对照组的80.0%(24/30),差异有统计学意义(P<0.05);但观察组的复位时长明显短于对照组,复位过程肩部疼痛VAS评分明显低于对照组,差异均有统计学意义(P<0.05)。(2)在整个观察过程中,2组患者均未出现医源性骨折、神经损伤、血管损伤和皮肤撕裂等并发症。【结论】外展外旋自主复位法具有复位过程中疼痛程度小、复位时间短的优点,同时也具有较高的复位成功率。Objective To observe the therapeutic effect of abduction and external rotation self-reduction technique for the treatment of anterior shoulder dislocation. Methods A randomized controlled trial was carried out in 60 patients with acute anterior shoulder dislocation. The patients were randomized into observation group and control group,30 cases in each group. The observation group was treated by abduction and external rotation self-reduction technique, and the control group was treated by Hippocrates reduction method. The scores of pain of the two groups during the reduction were evaluated with visual analogue scale(VAS),and the reduction time,one-time reset success rate,and incidence of the complications in the two groups were also recorded. Results(1)The onetime reset success rate in the observation group was 70.0%(21/30),and was mildly lower than that in the control group(80.0%,24/30),the difference being statistically significant(P<0.05). The reduction time was shorter and the VAS scores of shoulder pain during the reduction in the observation group were obviously lower than those in the control group,and the differences were statistically significant(P<0.05).(2)During the trial,no complications of iatrogenic fractures,neurological injury,vascular injury,or skin tears occurred in the two groups. Conclusion The abduction and external rotation self-reduction technique is effective for the treatment of anterior shoulder dislocation with the advantages of less pain,shorter reduction time,and higher reset success rate.

关 键 词：肩关节前脱位 肩关节 外展外旋自主复位法 手牵足蹬复位法 

分 类 号：R274.21[医药卫生—中医骨伤科学]