臂丛神经麻醉下肩关节松解治疗肩周炎临床研究

Clinical Study on Release of Shoulder Joint Under Brachial Plexus Anesthesia for Shoulder Periarthritis

目的:观察臂丛神经麻醉下肩关节松解治疗肩周炎的临床疗效。方法:选取本院收治的108例肩周炎患者,随机分为研究组(臂丛神经麻醉下肩关节松解治疗)和对照组(推拿治疗),每组54例。比较2组治疗前后肩关节功能与疼痛程度、肩关节外旋与外展度数及临床效果。结果:与治疗前相比,2组治疗后肩关节功能评分均升高(P<0.05),疼痛评分均降低(P<0.05)。与对照组比较,研究组治疗后肩关节功能评分高于对照组(P<0.05),疼痛评分低于对照组(P<0.05)。与治疗前比较,2组治疗后肩关节外旋与外展角度均增大(P<0.05)。与对照组比较,研究组治疗后肩关节外旋与外展角度均大于对照组(P<0.05)。总有效率方面,研究组98.15%,对照组87.04%,2组比较,差异有统计学意义(P<0.05)。结论:对肩周炎患者采用臂丛神经麻醉下肩关节松解治疗能促进肩关节功能恢复,缓解疼痛程度,扩大肩关节外旋与外展范围。

Objective:To observe the clinical effect of the release of shoulder joint under brachial plexus anesthesia for shoulder periarthritis.Methods:A total of 108 patients with shoulder periarthritis admitted to our hospital were randomly divided into the study group(treating with the release of shoulder joint under brachial plexus anesthesia)and the control group(treating with tuina),54 cases in each group.The function and degree of shoulder joint pain,the degree of external rotation and abduction of shoulder joint and the clinical effect in the two groups were compared before and after treatment.Results:After treatment,the scores of shoulder joint function in both groups were increased when compared with those before treatment(P<0.05),and the scores of pain were decreased(P<0.05).After treatment,the score of shoulder joint function in the study group was higher than that in the control group(P<0.05),and the score of pain in the study group was lower than that in the control group(P<0.05).Compared with those before treatment,the degree of external rotation and abduction of shoulder joint were increased in both groups after treatment(P<0.05).The degree of external rotation and abduction of shoulder joint in the study group was larger than that in the control group(P<0.05).The total effective rate was 98.15%in the study group and 87.04%in the control group,the difference being significant(P<0.05).Conclusion:The release of shoulder joint under brachial plexus anesthesia for shoulder periarthritis,can promote the recovery of shoulder joint function,relieve the degree of pain,and expand the scope of external rotation and abduction of shoulder joint.