臂丛神经阻滞麻醉下麦肯基手法松解术对肩周炎患者疼痛及肩关节活动度的影响

Effect of McKenzie arthrolysis under brachial plexus block anesthesia on pain and shoulder mobility in patients with scapulohumeral periarthritis

目的探讨臂丛神经阻滞麻醉下麦肯基手法松解术对肩周炎患者疼痛及肩关节活动度的影响。方法回顾性分析80例肩周炎患者的临床资料,并按治疗方案分为2组各40例。对照组应用痛点阻滞法,研究组应用臂丛神经阻滞麻醉下麦肯基手法松解术。比较2组患者疗效、治疗前后的肩关节活动度、视觉模拟评分法(VAS)评分。结果治疗1个疗程后,研究组近期总有效率显著高于对照组(P<0.05)。治疗3个月后,研究组远期总有效率显著高于对照组(P<0.05)。研究组治疗后肩关节疼痛VAS评分显著低于对照组(P<0.05)。治疗后,研究组肩关节活动度均显著大于对照组(P<0.05)。结论对于肩周炎患者,在痛点阻滞治疗基础上,辅以臂丛神经阻滞麻醉下麦肯基手法松解术,可进一步增强镇痛效果,改善肩关节活动度,提高近期、远期治疗效果。

Objective To investigate the effect of Mackenzie arthrolysis?under brachial plexus block anesthesia on pain and shoulder mobility in patients with scapulohumeral periarthritis.Methods Clinical materials of 80 patients with scapulohumeral periarthritis were analyzed retrospectively,and they were divided into two groups according to treatment plans,with 40 cases in each group.The control group was treated with block method for pain point,while study group was treated with McKenzie's arthrolysis under brachial plexus block anesthesia.Efficacies,shoulder mobility before and after treatment,score of Visual Analogue Scale(VAS)were compared between two groups.Results After one course of treatment,the total effective rate of short-term efficacy in the study group was significantly higher than that of the control group(P<0.05).After 3 months of treatment,the total effective rate of long-term efficacy in the study group was significantly higher than that of the control group(P<0.05).The VAS score of shoulder pain in the study group was significantly lower than that in the control group(P<0.05).After treatment,the shoulder mobility of the study group was significantly higher than that of the control group(P<0.05).Conclusion For patients with scapulohumeral periarthritis,McKinsey arthrolysis under brachial plexus block anesthesia on the basis of block treatment for pain point can further enhance the analgesic effect,improve shoulder mobility,and increase the short-term and long-term efficacies.