接骨膏外敷联合手法复位治疗肩关节脱臼随机平行对照研究

Bone Paste Connection Joint Gimmick Reset Random Parallel Control Study in the Treatment of Shoulder

[目的]观察接骨膏外敷联合手法复位治疗肩关节脱臼疗效。[方法]使用随机平行对照方法,将72例门诊患者按抽签法随机分为两组。对照组36例手法复位,仰卧,按揉肩髃、臂脯、手三里、曲池等穴,再拿肩井及肩部诸软组织,使痉挛缓解。手握患肢腕,一脚伸入患肩腋下(膝关节伸直),两手用力,沿患肢纵轴方向,患肢外展,稍外旋位拔伸,继而徐徐内旋、内收,同时足蹬,足跟为支点,将肱骨头挤放关节盂内,"咯噔"一声表示复位成功。上臂贴于胸壁,腋下垫一棉垫,将上臂用绷带固定于胸壁,前臂屈肘90°,使上臂保持在内收内旋位,三角巾悬吊,时间1周。治疗组36例接骨膏外敷,将接骨膏以喙突和肩髎穴为中心敷贴,2贴/次,敷贴15h,1次/d。手法复位同对照组。连续治疗7d为1疗程。观测临床症状、不良反应。治疗1疗程(7d),判定疗效。[结果]治疗组显效29例,有效5例,无效2例,总有效率94.44%。对照组显效16例,有效12例,无效8例,总有效率77.78%。治疗组疗效优于对照组(P<0.05)。[结论]接骨膏外敷联合手法复位治疗肩关节脱臼效果显著,值得推广。

[ Objective ] To observe the manual reduction combined shoulder bone paste topical treatment curative effect. [ Methods ] Using random parallel control method, 72 cases of clinic patients were randomly divided into two groups according to the draw method. Control group 36 cases, manual reduction treatment lie on your back, according to the pulp Yu rub shoulders, arms, hands three mile, li 11 holes, then take the soft tissue and shoulder shoulder well, make the spasm. Hand wrist of limb, one foot into the shoulder axillary （ knee ）, hands are hard, along the longitudinal axis, limb limb outreach, slightly outward turning a dial extension, which in turn inward turning slowly, adduction, and foot pedal at the same time, the heel for the fulcrum, put in the glenoid cavity, the humerus bead down ／＂hitched／＂ said reset successfully. Stick in the chest wall, upper arms armpit pad pads, upper arm with a bandage to the chest wail, 90 ° elbow flexion and forearm to keep upper arm, charging spin, triangle towel hanging, time 1 week. Treatment group （ 36 cases of bone paste （7 cm by 10 cm, 1.676 g/post ） topical treatment, bone paste coracoid and shoulder liao hole centered patches, with 2 every time, every time apply 15 h, 1 / d. Manual reduction treatment with the control group. Continuous treatment of 7 d for 1 course of treatment. Observation of clinical symptoms and adverse reactions. Treatment as a course （ 7d ）, to determine efficacy. [ Results ] The treatment group 29 cases were markedly effective, effective in 5 cases, 2 had no effect, the total effective rate was 94.44%. Control group 16 cases had marked effect, 12 cases effective, 8 no effect, the total effective rate was 77.78%. The treatment group curative effect is better than that of control group （ P〈0.05 ） . Gimmick reset. [ Conclusion ] Joint bone paste topical treatment of shoulder effect is remarkable, is worth promoting.