两种方法治疗粘连期肩关节周围炎

Two Treatments for Periarthritis of Shoulder in the Adhesion Phase

目的：评价不同方法治疗粘连期肩关节周围炎的疗效。方法：本组75例均符合肩关节周围炎的粘连期的诊断,随机分为麻醉下肩关节松解术组36例,手法按摩推拿组39例。两组患者的年龄、性别、病程,经统计学处理,其差异无统计学意义（P〉0.05）,具有可比性。36例采用麻醉下肩关节松解术、肩关节封闭及肩关节功能锻炼的方法治疗;40例采用肩关节封闭、手法按摩推拿及功能锻炼的方法治疗。结果：72例接受完整治疗并获得随访,随访时间3个月～26个月,平均13个月。依据疗效标准评价治疗结果。麻醉下肩关节松解术组36例,治愈：33例,显效：3例,有效：0例,无效：0例;手法按摩推拿组36例,治愈：8例,显效：18例,有效：8例,无效：2例。结论：麻醉下肩关节松解术组在治愈率、愈显率上明显优于手法按摩推拿组。

Objective：To evaluate the efficacy of different treatments for periarthritis of shoulder in the adhesion phase.Methods：Seventy-five patients were selected in accordance with the diagnosis of periarthritis of shoulder in the adhesion phase.Under anesthesia,36 cases in group 1 were treated with arthrolysis,shoulder blockage,and functional exercise,while another 39 cases in group 2 received shoulder blockage,massage and functional exercise.Results： A total of 72 cases received complete treatment and were followed up for 3 months to 26 months, averagely 13 months. In group 1, 33 cases were cured, 3 cases had excellent effect, and there is no ineffectiveness. In group 2, 8 cases were cured, and there was excellent effect in 18 cases, fair effect in 8 cases and ineffectiveness in 2 cases. Conclusion： Arthrolysis of the shoulder is superior to massage in cure rate and markedly effective rate.