肩周炎1次臂丛麻醉下多次手法松解临床研究

Clinical Research of Manipulation Releases under One Brachial Plexus Anesthesia for Scapulohumeral Periarthritis

目的研究1次臂丛麻醉下3次手法松解治疗肩周炎的疗效。方法将120例肩周炎住院患者随机分为治疗组和对照组,治疗组为1次臂丛麻醉下,在麻醉药有效期内,实施3次手法松解术加功能锻炼治疗;对照组为臂丛麻醉下,1次手法松解术加功能锻炼治疗。采用疼痛视觉模拟评分法(VAS),观察两组治疗前后疼痛程度变化;采用肩关节功能活动Melle评分,对两组治疗前后肩关节动作进行量化评分对比。结果治疗组治愈率为68.33%,对照组为48.33%,临床治愈率显著提高(P<0.01);治疗组治疗后的疼痛VAS评分比对照组均显著降低(P<0.01),其关节活动度改善的Melle评分比对照组均显著增高(P<0.01)。结论 1次臂丛麻醉下不同时间3次手法松解术治疗肩周炎,比1次松解手法治疗治愈率明显提高,且疼痛VAS评分及功能Melle评分均有更多的改善。

Objective To explore the curative effect of manipulation releases under one brachia plexus anesthesia on scapulohumeral periarthritis.Methods 120 hospitalized cases with scapulohumeral periarthritis were randomly divided into 2 groups：treatment group and control group;brachial plexus anesthesia was given to cases in treatment group,and within the effective period of the anesthesia,3 manipulation releases plus functional exercise for treatment were performed,while under one brachial plexus anesthesia,only 1 manipulation release plus functional exercise for treatment was performed to cases in control group;the VAS scores was applied to evaluate the changes of pain degree of the cases in both groups before and after treatment,and the Melle scores was applied to compare the shoulder functions of the cases between the 2 groups.Results The cure rate in treatment group was 68.33%,much higher than that in control group（48.33%）（P〈0.01）;the Meller scores in treatment group increased much more than that in control group（P〈0.01）.Conclusion Manipulation releases at 3 different times within the effect of 1 brachial plexus anesthesia for scapulohumeral periarthritis is of a higher cure rate and more improvement in VAS scores and Meller scores than one manipulation release.