肩关节脱位采取牵引回旋法与手牵足蹬法复位的比较

Comparison of Traction and Slewing Method for Shoulder Dislocation

目的 分析肩关节脱位患者接受手法复位术的治疗效果。方法 回顾性分析2019年1月—2020年12月于三明市中西医结合医院接受手法复位治疗的肩关节脱位患者60例,依据复位方法不同将患者分为对照组与研究组,每组30例。对照组接受手牵足蹬法复位,研究组接受牵引回旋法。比较两组疗效。结果 研究组复位率为83.33%,高于对照组的76.67%,但差异无统计学意义(χ^(2)=0.416,P>0.05)。研究组再次脱位率为16.67%,低于对照组的43.33%,差异有统计学意义(χ^(2)=5.079,P<0.05)。治疗前、治疗后两组患者的ConstantMurlry评分及Neer评分对比,差异无统计学意义(P>0.05)。结论 对肩关节脱位患者实施牵引回旋复位,其复位效果与手牵足蹬法复位无差异,均能够良好改善其肩关节功能评分,且患者复位后出现并发症的概率较低。

Objective To analyze the therapeutic effect of manual reduction in patients with shoulder dislocation.Methods Retrospective analysis was made of 60 patients with shoulder joint dislocation who entered Sanming Hospital of Integrated Chinese and Western Medicine from January 2019 to December 2020 for manual reduction treatment.According to different reduction methods, the patients were divided into control group and study group, with 30 patients in each group. The control group received the hand-pulling method for repositioning, and the study group received the traction slewing method. Compared the therapeutic effects of the two groups. Results The reduction rate of the study group was 83.33%, which was higher than that of the control group 76.67%, but the difference was not statistically significant(χ^(2)=0.416, P>0.05). The redislocation rate in the study group was 16.67%, which was lower than 43.33% in the control group, and the difference was statistically significant(χ^(2)=5.079, P<0.05). There was no statistically significant difference in the Constant-Murry score and Neer score between the two groups before and after treatment(P>0.05). Conclusion There is no difference between the reduction effect of traction swing reduction and that of hand traction and foot pedal reduction for the patients with dislocation of shoulder joint, and both can improve the shoulder joint function score well. However, patients are less likely to develop complications after reduction.