肩关节镜手术结合定点松解手法对肩袖损伤患者关节功能恢复及血流动力学的影响  

The Impact of Shoulder Arthroscopic Surgery Combined with Fixed-point Lax Technique on Joint Function Recovery and Hemodynamics in Patients with Shoulder Rotator Cuff Injury

作　　者：徐涛[1] 陈玉伟 江萍[1] 朱金华[1] XU Tao;CHEN Yuwei;JIANG Ping;ZHU Jinhua(Jingjiang Chinese Medicine Hospital,Jiangsu Province,Jingjiang 214500,China;不详)

机构地区：[1]江苏省靖江市中医院,江苏靖江214500

出　　处：《中国医学创新》2023年第36期46-50,共5页Medical Innovation of China

摘　　要：目的:探讨肩关节镜手术结合定点松解手法对肩袖损伤患者关节功能恢复及血流动力学的影响。方法:选取2018年1月—2022年10月靖江市中医院收治的78例肩袖损伤患者为研究对象,按1∶1比例随机分为研究组(39例)和对照组(39例)。对照组采用传统肩关节镜手术治疗,研究组在对照组基础上使用定点松解手法治疗。通过肩关节活动度评分、血流动力学指标、美国加州大学洛杉矶分校(UCLA)肩关节评分、美国肩肘外科协会(ASES)评分和视觉模拟评分法(VAS)评分比较两组的治疗效果。结果:术后6周,研究组外展、前屈、内旋、外旋活动度评分均高于对照组,差异均有统计学意义(P<0.05)。术后6周,研究组的心率、收缩压、舒张压均低于对照组,差异均有统计学意义(P<0.05)。术后6周,研究组UCLA肩关节评分、ASES评分均高于对照组;VAS评分低于对照组,差异均有统计学意义(P<0.05)。结论:肩关节镜手术结合定点松解手法能显著改善肩袖损伤患者的关节功能的恢复及血流动力学,降低疼痛程度。Objective:To investigate the effect of shoulder arthroscopic surgery combined with fixedpoint lax technique on joint function recovery and hemodynamics in patients with shoulder rotator cuff injury.Method:A total of 78 patients with shoulder rotator cuff injury admitted to Jingjiang Chinese Medicine Hospital from January 2018 to October 2022 were selected as the research objects.They were randomly divided into the study group(39 cases)and the control group(39 cases)according to the ratio of 1∶1.The control group was treated with traditional shoulder arthroscopic surgery,and the study group was treated with fixed-point lax technique on the basis of the control group.The therapeutic effects of the two groups were compared by shoulder range of motion score,hemodynamics indexes,University of California at Los Angeles(UCLA)shoulder joint score,American shoulder and elbow surgeons(ASES)score and visual analogue scale(VAS)score.Result:6 weeks after surgery,the scores of abduction,forward flexion,internal rotation and external rotation in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).6 weeks after surgery,the heart rate,systolic blood pressure and diastolic blood pressure of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).6 weeks after surgery,the scores of UCLA shoulder joint and ASES in the study group were higher than those in the control group;the VAS score of the study group was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Shoulder arthroscopic surgery combined with fixed-point lax technique in patients with shoulder rotator cuff injury can significantly improve the recovery of shoulder joint function and hemodynamics,reduce the pain degree.

关 键 词：肩关节镜手术 定点松解手法 肩袖损伤 关节功能恢复 血流动力学 

分 类 号：R687.4[医药卫生—骨科学]