肱骨外科颈后侧阻滞治疗肩关节周围炎75例报告

Blocking at the point of surgical neck of humerus via posterior approach for treatment of scapulohumeral periarthritis in 75 cases

目的探讨肱骨外科颈后侧阻滞治疗肩关节周围炎的临床效果。方法选择肩周炎患者75例，于肱骨外科颈后侧压痛点，用利多卡因和曲安奈德混合液行区域阻滞，3次为1疗程。结果治疗前、后患肩疼痛程度（VRS）无、轻、中、重度例数分别为0、4、36、35和64、9、2、0例，差异有统计学意义（P〈0．01）；治疗后患肩活动范围较治疗前亦有统计学差异（P〈0．01）。结论肱骨外科颈后侧阻滞治疗肩关节周围炎，安全简便、效果显著。

Objective To study the clinical effect of blocking at the point of surgical neck of humerus via posterior approach to treat patients with scapulohumeral periarthritis. Methods Seventy-five patients with scapulohumeral periarthritis were selected. The tender point of posterior part of surgical neck of humerus was blocked with 1% lidoeaine and triameinolone acetonide, 3 times for a treatment course. Result The VRS showed without,mild,medium and severe pain before and after treatment were 0, 4, 36, 35 and 64, 9, 2, 0 cases,respectively,which were statistically significant （P〈0.01）. The movement range after the treatment was significantly improved than that before the treatment （P〈0.01）. No adverse reactions occurred. Conclusion The block at surgical neck of humerus via posterior approach is a safe, and satisfactory method for treatment of seapulohumeral periarthritis.