臂丛麻醉下大手法松解术联合小针刀治疗肩周炎的临床观察  

Clinical observation of large manipulation release under brachial plexus anesthesia combined with small acupotomy on scapulohumeral periarthritis

作　　者：王勤俭[1] 李泊泊 董良杰 王燕[1] WANG Qinjian;LI Bobo;DONG Liangjie;WANG Yan(The Second Department of Orthopedics,Henan Province Hospital of Traditional Chinese Medicine,Zhengzhou 450002,China)

机构地区：[1]河南省中医院骨病二科,郑州450002

出　　处：《实用医学杂志》2021年第14期1887-1891,共5页The Journal of Practical Medicine

基　　金：国家中医临床研究基地科研专项课题(编号:2019JDZX055)。

摘　　要：目的观察臂丛麻醉下大手法松解术联合小针刀治疗肩周炎的临床疗效。方法120例患者随机分为对照组(n=60)和观察组(n=60),分别给予小针刀、臂丛麻醉下大手法松解术联合小针刀,疗程2周。分别观察两组肩关节活动度,McGill疼痛量表。比较两组临床疗效、安全性及随访复发率。结果观察组总有效率98.3%(58/59),高于对照组的80.7%(46/57),差异有统计学意义(P<0.05)。观察组随访复发率1.7%(1/58),低于对照组的28.3%(13/46),差异有统计学意义(P<0.05)。观察组上肢的前屈、后伸、外展较对照组明显提高(P<0.05);PPI、VAS、PRI评分较对照组明显降低(P<0.05)。结论臂丛麻醉下大手法松解术联合小针刀治疗肩周炎疗效明显。Objective To observe the clinical efficacy of large manipulation release under brachial plexus anesthesia combined with small acupotomy on scapulohumeral periarthritis.Methods 120 patients were randomly divided into control group(60 cases)and observation group(60 cases).The control group was treated with small acupotomy,and the observation group was treated with large manipulative release under brachial plexus anesthesia combined with small acupotomy for 2 weeks.Range of motion of shoulder joint and McGill pain scale were observed in the two groups.The clinical efficacy,safety and recurrence rate of the two groups were compared follow⁃up.Results The total effective rate of the observation group was 98.3%(58/59),which was higher than that of the control group(80.7%,46/57)(P<0.05).The follow⁃up recurrence rate of the observation group was 1.7%(1/58),lower than the control group's 28.3%(13/46)(P<0.05).The anterior flexion,posterior extension and abduction of upper limbs in the observation group were significantly improved compared with the control group(P<0.05).PPI,VAS and PRI scores in the observation group were significantly lower than those in the control group(P<0.05).Conclusion Large manipulation release under brachial plexus anesthesia combined with small acupotomy on scapulohumeral periarthritis is effective.

关 键 词：臂丛麻醉下大手法松解术 小针刀 肩周炎 

分 类 号：R681.5[医药卫生—骨科学]