原创夹腕提肩法手法整复治疗原发性急性肩关节前脱位临床疗效  

Clinical effect analysis of primary acute anterior dislocation of shoulder joint treated with original wrist-clamping and shoulder-lifting manipulation

作　　者：代万武 刘雷 黄祖权 郑扬越 李兴艳 DAI Wanwu;LIU Lei;HUANG Zuquan;ZHENG Yangyue;LI Xingyan(Department of Joint Surgery,the Third Affiliated Hospital of Guangxi Medical University,Nanning 530031,China)

机构地区：[1]广西医科大学第三附属医院关节外科,南宁530031

出　　处：《实用医学杂志》2021年第7期879-883,共5页The Journal of Practical Medicine

基　　金：国家自然科学基金资助项目(编号:81760389)。

摘　　要：目的对比手牵足蹬法和夹腕提肩法手法整复原发性急性肩关节前脱位的临床疗效。方法将我院2017年2月至2020年2月关节外科收治的130例肩关节前脱位患者作为研究对象,依据不同治疗方法随机分组到夹腕提肩组(78例)和手牵足蹬组(52例),比较两组复位方法在肩关节疼痛VAS评分、肩关节功能JOA评分、复位成功率、复位并发症、临床疗效和肩关节功能康复时间等结果。结果两组患者肩关节疼痛VAS评分、肩关节功能JOA评分、复位并发症、临床疗效和肩关节康复时间等疗效差异无统计学意义(P> 0.05);夹腕提肩组患者在首次复位成功率上高于手牵足蹬组的患者(P <0.05)。结论采用夹腕提肩法手法整复治疗肩关节前脱位在首次复位成功率上优于传统的手牵足蹬法,复位时间短,复位使用力度较小,复位过程中患者疼痛感较轻,在安全性和肩关节功能康复上和手牵足蹬法具有相同的效果。Objective Comparison of the clinical curative effects of the Hippocratic method and the wristclamping and shoulder-lifting method to reduction the primary acute anterior acromioclavicular joint dislocation.Methods 130 patients with anterior shoulder dislocation who were admitted to the joint surgery department from February 2017 to February 2020 in our hospital were taken as the research objects.According to different treatment methods,they were randomly divided into the wrist-clamping and shoulder-lifting group(78 cases)and the handheld foot pedaling group(52 cases),and compared the results of the two groups of reduction methods in shoulder joint pain VAS score,shoulder joint function JOA score,reduction success rate,reduction complications,clinical efficacy and shoulder joint function rehabilitation time.Results There was no significant difference in the efficacy of the shoulder joint pain VAS score,shoulder joint function JOA score,reduction complications,clinical efficacy and shoulder joint rehabilitation time between the two groups(P>0.05).The success rate of the first reduction in the wrist-clamping and shoulder-lifting group was greater than that of the Hippocratic group,and the difference was statistically significant(P<0.05).Conclusion The use of wrist-clamping and shoulder-lifting method to treat anterior shoulder dislocation is better than the traditional Hippocratic method in the first reduction success rate,short time,low power,and the patient feels less pain during the reduction process,and has the same effect as the Hippocratic method in terms of safety and shoulder joint functional rehabilitation.

关 键 词：肩关节前脱位 夹腕提肩 手牵足蹬 手法整复 

分 类 号：R459.7[医药卫生—急诊医学]