关节松动术合用臂丛神经连续阻滞治疗创伤性肘关节功能障碍

Joint Mobilization Combined with Continuous Brachial Plexus Block Treating Traumatic Elbow Joint Dysfunction

目的：探讨关节松动术联合连续斜角肌肌间沟臂丛神经阻滞对创伤性肘关节功能障碍的治疗作用。方法：将100例创伤后肘关节功能障碍患者随机分成对治疗组和对照组，治疗组采用关节松动术联合连续斜角肌肌间沟臂丛神经阻滞，对照组采用关节松动术，分别采用测角计和Mayo评分法评定两组患者治疗前后患肘关节活动范围（ROM）N．其功能。结果：治疗后两组ROM、Mayo评分均较治疗前明显提高（P〈O．05）；且治疗组的ROM、Mayo评分高于对照组（氏0．05）。结论：关节松动术联合连续斜角肌肌间沟臂丛神经阻滞治疗创伤后肘关节功能障碍疗效显著，值得临床推广应用。

Objective： To investigate the therapeutic effects of joint mobilization combined with continuous brachial plexus block of scalene intersca- lene treating traumatic elbow joint dysfunction. Methods： 100 cases of traumatic elbow joint dysfunction were randomly divided into the treatment group and control group, treatment group was treated with joint mobilization and continuous brachial plexus block of scalene interscalene, control group with joint mobilization, goniometer and Mayo scores were respectively applied to evaluate the range of motion （ROM） and function of elbow joint in two groups before and after treatment. Results： ROM and Mayo scores of two groups after the treatment were significantly improved, compar- ing with those before the treatment （P〈0.05）; ROM and Mayo scores of treatment group were both higher than those of control group （P〈0.05）. Con- elusion： Joint mobilization combined with continuous brachial plexus block of scalene interscalene treating traumatic elbow joint dysfunction is of significant efficacy, beinz worth＇）, of clinical oromotion and aoolication.