肩关节镜下270°松解术联合复方倍他米松注射液治疗原发性冻结肩的效果  

Effect of 270°shoulder arthroscopic release combined with compound Betamethasone injection in the treatment of primary frozen shoulder

作　　者：付积杰 FU Jijie(Department of Bone and Joint Surgery,People's Hospital of Jimo Qingdao,Shandong Province,Qingdao266200,China)

机构地区：[1]山东省青岛市即墨区人民医院骨关节外科,山东青岛266200

出　　处：《中国当代医药》2024年第2期61-65,共5页China Modern Medicine

摘　　要：目的观察肩关节镜下270°松解术联合复方倍他米松注射液治疗原发性冻结肩(PFS)的临床效果。方法选取青岛市即墨区人民医院2020年1月至2021年12月收治的70例PFS患者,采用随机数字表法进行分组,将患者均分为观察组与对照组,每组35例。对照组采取肩关节镜下270°松解术治疗,观察组在对照组的基础上联合复方倍他米松注射液行关节腔内注射。比较两组患者的疼痛症状、肩关节功能评分、肩关节综合评分与关节活动度。结果经过两周治疗后,观察组的视觉模拟评分法(VAS)评分低于对照组,疼痛控制达标时间短于对照组,美国加州大学肩关节评分(UCLA)高于对照组,Constant-Murley肩关节功能评分量表(CMS)高于对照组,差异有统计学意义(P<0.05)。观察组肩关节前屈上举、外展上举以及体侧外旋测量结果均高于对照组,差异有统计学意义(P<0.05)。结论肩关节镜下270°松解术联合复方倍他米松注射液治疗PFS的疗效确切,可改善患者的术后疼痛症状与关节功能恢复,且有助于解除关节活动受限。Objective To observe the clinical effect of 270°shoulder arthroscopic release combined with compound Betamethasone injection in the treatment of primary frozen shoulder(PFS).Methods A total of 70 patients with PFS admitted to the People's Hospital of Jimo Qingdao from January 2020 to December 2021 were selected and divided into observation group and control group by random number table method,with 35 patients in each group.The control group was treated with 270°shoulder arthroscopic release,and the observation group was combined with compound Betamethasone injection on the basis of the control group.The pain symptoms,shoulder joint function scores,shoulder joint comprehensive scores and range of motion were compared between the two groups.Results After two weeks of treatment,the visual analogue scale(VAS)scores of the observation group was lower than that of the control group,and the pain control time was shorter than that of the control group,the University of California at los angeles shoulder rating scale(UCLA)scores was higher than that of the control group,the constant-murley shoulder joint function scale(CMS)scores was higher than that of the control group,the differences were statistically significant(P<0.05).The results of shoulder flexion upward lift,abduction upward lift and lateral lateral rotation in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion 270°shoulder arthroscopic release combined with compound Betamethasone injection is effective in the treatment of PFS,improving postoperative pain symptoms and joint function recovery,and helping to relieve the limitation of joint movement.

关 键 词：原发性冻结肩 肩关节镜松解术 复方倍他米松注射液 关节腔注射治疗 

分 类 号：R605[医药卫生—外科学]