外展外旋复位法治疗肩关节脱位的临床效果分析  

Analysis of Clinical Effect of Abduction and External Rotation Reduction on Shoulder Dislocation

作　　者：庄华伟 蒋天成 叶明旺 ZHUANG Hua-wei;JIANG Tian-cheng;YE Ming-wang(Department of Traumatology and Orthopedics,Lianzhou People's Hospital,Lianzhou,Guangdong Province,513400 China)

机构地区：[1]广东省连州市连州市人民医院创伤骨科,广东连州513400

出　　处：《中外医疗》2020年第21期89-91,共3页China & Foreign Medical Treatment

摘　　要：目的观察外展外旋复位法治疗肩关节脱位的临床效果。方法随机选取该院2015年1月—2019年12月收治肩关节脱位患者60例,以随机数字法分成对照组(30例)与实验组(30例),对照组患者采取手牵足蹬法整复,实验组外展外旋复位法。对比两组患者复位次数,复位消耗的时间、复位过程中患者疼痛VAS评分。结果实验组患者一次复位成功率为80.00%高于对照组的33.33%,而实验组二次复位成功率为20.00%、三次复位成功率为0.00%明显少于对照组的53.33%、13.330%,差异有统计学意义(χ^2=13.303、7.177、4.286,P<0.05)。实验组患者复位消耗的时间明显短于对照组,复位过程中患者疼痛VAS评分明显低于对照组,差异有统计学意义(P<0.001)。结论在肩关节脱位患者的复位治疗中,采取外展外旋手法复位,可明显减少患者复位次数,缩短患者的复位所消耗的时间,减轻患者在复位过程中的疼痛感。Objective Observe the clinical effect of abduction and external rotation reduction on shoulder dislocation.Methods Sixty patients with shoulder dislocation were random selection treated in the hospital(January 2015-December 2019),and were divided into a control group(30 cases)and an experimental group(30 cases)by random number method.The method was restored,and the experimental group abduction and external rotation reduction method.The number of reductions,the time spent in reduction,and the pain VAS score of the patients during the reduction were compared between the two groups,was compared between the two groups.Results The success rate of the first reset in the experimental group was 80.00%higher than that in the control group,33.33%,while the success rate of the second reset in the experimental group was 20.00%,and the success rate of the third reset was 0.00%,which was significantly less than the 53.33%and 13.33%of the control group.The difference was statistically significant(χ^2=13.303,7.177,4.286,P<0.05).The time spent on reset in the experimental group was significantly shorter than that in the control group,and the pain VAS score of the patients in the reset process was significantly lower than that in the control group,the difference was statistically significant(P<0.001).Conclusion In the reduction treatment of patients with shoulder dislocation,the use of abduction and external rotation reduction can significantly reduce the number of patients'reset,shorten the time spent by the patient's reset,and reduce the patient's pain during the reduction process.

关 键 词：外展外旋 复位法 肩关节脱位 治疗体会 

分 类 号：R684[医药卫生—骨科学]