足蹬加侧拉掌推法治疗肩关节前脱位

Treatment of anterior dislocation of shoulder joint by foot pedal plus side pulling

目的:旨在观察足蹬加侧拉掌推法治疗肩关节前脱位的临床疗效,以期为临床应用提供依据。方法:本研究收集了2011年3月—2015年3月,来我院治疗的肩关节前脱位患者60例,将其按照随机对照原则分为观察组和对照组各30例。观察组患者采用足蹬加侧拉掌推法治疗,治疗组患者采用传统方法治疗。治疗结束后,将两组患者的临床疗效进行对比;随访半年,观察两组患者肩关节恢复情况,分析其异同。结果:经过治疗后,观察组患者的临床疗效明显优于对照组患者,复位操作所需的时间及并发症发生率均明显低于对照组患者;随访期间,观察组患者的肩关节恢复情况明显优于对照组,差异有统计学意义(P<0.05﹚。结论:临床治疗肩关节前脱位时,选用足蹬加侧拉掌推法治疗,临床疗效确切,可以有效缩短复位操作所需的时间,且并发症发生率低,肩关节恢复情况较好,值得在临床上推广使用。

Objective： To observe the effect of treatment of anterior dislocation of shoulder joint by foot pedal plus side pulling and to provide evidence for clinical application. Method： 60 cases of anterior dislocation of shoulder joint treated in our hospital from March 2011 to March 2015 were randomly divided into the observation group and the control group, with 30 cases in each group.The observation group were treated with foot pedal plus side pulling while the the treatment group were treated with conventional therapy, the clinical effects of two groups were compared after treatment, patients were followed-up for 6 months to observe the recovery of patients＇ shoulder joint, and the results were analyzed. Results： After treatment, the clinical efficacy of the observation group was significantly better than that of the control group; The time required for the reset operation and the incidence of complications of patients in the observation group were significantly less than those of the control group; during follow-up, the recovery of patients＇ shoulder joint in the observation group were significantly less than that of the control group and the difference was of statistical significance （P 〈 0.05）. Conclusion： Foot pedal plus side pulling therapy had significant clinical therapeutic effect in treating anterior dislocation of shoulder joint, it could effectively shorten the time required to reset the operation, and it was of low incidence of complications, therefore, it was worthy of clinical promotion and application.