不同方法臂丛神经阻滞后手法松解治疗粘连性肩关节囊炎的临床研究

CLINICAL STUDY OF MANIPULATION RELEASING SCAPULOHUMERAL PERIARTHRISTIS UNDER BRACHIAL PLEXUS BLOCK WITH DIFFERENT MEDICINES

目的:探讨脉络宁复合液臂丛神经阻滞后手法治疗粘连性肩关节囊炎的临床疗效。方法:粘连性肩关节囊炎患者50例随机均分为脉络宁组(M组)与倍他米松组(B组)各25人,分别采取脉络宁复合液和复方倍他米松注射液臂丛神经阻滞后手法松解治疗粘连性肩关节囊炎。观察治疗前后的肩关节疼痛评分和肩关节活动度。结果:治疗后3个月脉络宁组与倍他米松组肩部疼痛与肩关节功能活动改善较治疗前差异有统计学意义(P<0.05);脉络宁组优于倍他米松组,两组间治疗效果比较差异有统计学意义(P<0.05)。结论:1脉络宁复合液和复方倍他米松注射液行臂丛神经阻滞后手法松解都能有效缓解粘连性肩关节囊炎患者的肩部疼痛症状,改善肩关节活动功能。2治疗后3个月随访疗效观察,脉络宁组优于倍他米松组,远期疗效稳定。3脉络宁复合液行臂丛神经阻滞下手法松解治疗粘连性肩关节囊炎避免了激素带来的不良反应,值得在临床上推广使用。

Objective：To evaluate the clinical effect of Mailuoning complex fluid for manipulation relieving scapulohumeral periarthristis under brachial plexus block.Methods：Fifty patients who had scapulohumeral periarthristis were randomly divided into M group （n =25） and B group （n =25）.The M group patients took the Mailuoning complex fluid and the B group took the treatment of compound betamethasone for brachial plexus block to treat scapulohumeral periarthristis with manipulation.The fraction of shoulder pain and shoulder activity were observed before and after treatment.Results：The pain of both groups decreased significantly and the shoulder activity of all patients significantly improved 3 months later compared with pretreatment （P ＜ 0.05）.The therapy eutic effect of M was significantly better than B.Conclusion：① The therapy of the injecting Mailuoning complex fluid under brachial plexus block supplemented with manipulation to cure frozen shoulder had good effect on easing pain,improving shoulder activity.② The Mailuoning complex fluid has longer effect of easing pain and improving shoulder activity than the treatment by hormone.③ Mailuoning complex liquid had the advantages of stable long-term efficacy and less side effects of the hormone,especially for diabetes and hypertension patients.It should be promoted in clinic.