改良零度位外展拔伸牵引复位法治疗肩关节脱位的临床研究  

Clinical Study of Modified Zero-degree Abduction and Extension Traction Reduction Method in Treatment of Dislocation of Shoulder Joint

作　　者：蒋亮 李俊豪 孙小东 黄其志 JIANG Liang;LI Junhao;SUN Xiaodong;HUANG Qizhi(Yangjiang Hospital of Traditional Chinese Medicine,Yangjiang 529500,China)

机构地区：[1]阳江市中医医院,广东阳江529500

出　　处：《中外医学研究》2021年第9期12-14,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：2019年度广东中医药局面上科研项目(20192114)。

摘　　要：目的:观察比较改良零度位外展拔伸牵引复位法治疗肩关节脱位是否优于手牵足蹬法。方法:将2017年4月-2019年4月笔者所在医院肩关节脱位患者60例,随机分为治疗组和对照组,各30例,治疗组采用改良零度位外展拔伸牵引复位法治疗,对照组采用手牵足蹬法治疗。对比两组一次复位成功率、复位所需时间、并发症发生率、止痛剂使用率、复位前后VSA评分及临床疗效。结果:治疗组一次复位成功率高于对照组,复位所需时间短于对照组,并发症发生率、止痛剂使用率均低于对照组,差异均有统计学意义(P<0.05);复位前两组VAS评分比较差异无统计学意义(P>0.05),复位后治疗组VAS评分低于对照组,差异有统计学意义(P<0.05);治疗组关节功能恢复优良率为96.7%,高于对照组的83.3%,差异有统计学意义(P<0.05)。结论:改良零度位外展拔伸牵引复位法治疗肩关节脱位的临床效果较手牵足蹬法更好。Objective:To observe and compare whether the modified zero-degree position traction reduction method is better than hand-in-foot pedal method in treatment of shoulder dislocation.Method:Sixty patients with shoulder dislocation in our hospital from April 2017 to April 2019 were randomly divided into the treatment group and the control group,with 30 cases in each group.The treatment group was treated with the modified zero-degree abduction and extension traction reduction method,while the control group was treated with the hand-in-foot pedal method.The success rate of the first reduction,the time required for reduction,the incidence of complications,the use rate of analgesics,the VSA score before and after reduction and the clinical efficacy were compared between the two groups.Result:The success rate of the first reduction in the treatment group was higher than that in the control group,the reduction time was shorter than that in the control group,the incidence of complications and the use rate of analgesics in the treatment group were lower than that in the control group,the differences were statistically significant (P<0.05).There was no significant difference in VAS scores between the two groups before reduction (P>0.05),the VAS score in the treatment group was lower than that in the control group after reduction,the difference was statistically significant (P<0.05).The excellent and good rate of joint function recovery in the treatment group was 96.7%,which was higher than that in the control group (83.3%),the difference was statistically significant (P<0.05).Conclusion:The clinical effect of modified zero-degree abduction traction reduction for shoulder dislocation is better than hand-in-foot pedal method.

关 键 词：改良零度位外展拔伸牵引复位法 手牵足蹬法 肩关节脱位 临床研究 

分 类 号：R684.7[医药卫生—骨科学]