Davos法与Hippocrates法复位盂肱关节前脱位疗效比较  

作　　者：简宏鹏 洪沐汉 徐敏[1] 

机构地区：[1]浙江大学医学院附属第一医院浦江分院,322299

出　　处：《浙江临床医学》2022年第5期699-701,共3页Zhejiang Clinical Medical Journal

摘　　要：目的 比较Davos法与Hippocrates法复位盂肱关节前脱位的疗效.方法 选择2018年1月至2021年4月盂肱关节前脱位患者76例,随机分为观察组(38例)和对照组(38例).观察组使用Davos法,对照组使用Hippocrates法.比较两组疗效,及复位操作时间、非麻醉下复位成功率、一次复位成功率、留院时间.比较两组复位前和复位后当天视觉模拟评分法(VAS)评分及肩关节Constant评分,及复位后并发症和随访3个月盂肱关节再脱位发生率.结果 观察组(97.37%)复位总有效率比对照组(78.95%)高(P<0.05);与对照组相比,观察组复位操作时间较短、非麻醉下复位成功率较高、一次复位成功率较高,差异有统计学意义(P<0.05);治疗后,两组VAS评分均下降(P<0.05)、Constant评分均上升(P<0.05);与对照组相比,观察组VAS评分更低(P<0.05),两组Constant评分差异无统计学意义(P>0.05);两组并发症发生率、盂肱关节再脱位发生率差异无统计学意义(P>0.05).结论 与Hippocrates法相比,Davos法具有较短的复位操作时间,有利于提高非麻醉下复位成功率、一次复位成功率,复位时疼痛较轻,疗效较好,安全性较高,具有推广价值.Objective To compare the clinical effect of anterior dislocation of glenohumeral joint treated by Davos and Hippocrates.Methods Seventy-six patients with anterior glenohumeral dislocation admitted to our hospital from January 1,2018 to April 30,2021 were selected as the study subjects,and were randomly divided into observation group(38 cases)and control group(38 cases).Davos method was used in the observation group and Hippocrates method was used in the control group.The clinical efficacy of the two groups was compared.The operation time of reduction,the success rate of reduction without anesthesia,the success rate of one reduction and the hospital stay time of the two groups were recorded.Visual analog scale(VAS)scores and Constant scores of shoulder joints before and on the day after reduction were compared between the two groups.The postoperative complications and the incidence of redislocation of glenohumeral joint were recorded.Results Compared with the control group(78.95%),the observation group(97.37%)had higher total effective rate(P<0.05),compared with the control group,the observation group had shorter operation time,higher success rate of reduction without anesthesia and higher success rate of single reduction,with statistical significance(P<0.05),after treatment,VAS score decreased and Constant score increased in both groups(P<0.05),after treatment,VAS score of the observation group was lower than that of the control group(P<0.05),and Constant score had no significant difference between the two groups(P>0.05).There was no significant difference in the incidence of complications and glenohumeral joint redislocation between the two groups(P>0.05).Conclusion Compared with Hippocrates method,Davos method has a shorter operation time,which is beneficial to improve the success rate of unanaesthesia and one-time reduction,and has less pain,better efficacy and higher safety.Therefore,it has promotion value.

关 键 词：盂肱关节前脱位 手法复位 希波克拉底复位法 Davos自动复位法 

分 类 号：R68[医药卫生—骨科学]