侯德才教授手法治疗肩周炎冻结期的临床经验

Professor Hou Decai's Clinical Experience on Manipulative Treatment of Frozen Phase of Scapulohumeral Periarthritis

目的:通过观察臂丛神经阻滞麻醉下肩关节手法松解术治疗肩周炎冻结期的有效性和安全性,总结老中医药专家侯德才教授松解手法的临床经验。方法:采用自身对照的研究方法,纳入肩周炎冻结期患者30例,在臂丛神经阻滞麻醉下采用侯德才教授的四步肩关节粘连松解手法,观察治疗后10 d的临床疗效。结果:肩关节疼痛的视觉模拟量表(VAS)评分、肩关节活动度及肩关节活动评分,治疗后较治疗前明显改善,治疗前后比较差异有统计学意义(P<0.05)。无不良事件发生。结论:臂丛神经阻滞麻醉下四步肩关节粘连手法松解术操作简单,术中无疼痛,患者依从性良好,是肩周炎冻结期的有效治疗方法。

Objective:To observe the efficacy and safety of manual release of shoulder joint under brachial plexus block anesthesia on the treatment of scapulohumeral periarthritis during freezing period,and to summarize the clinical experience of Hou Decai,an old expert in traditional Chinese medicine.Methods:30 patients with frozen scapulohumeral periarthritis were treated with Professor Hou Decai's four-step shoulder adhesion release manipulation under brachial plexus block anesthesia,and the clinical efficacy was observed 10 d after treatment.Results:The visual analogue scale(VAS)score,shoulder range of motion and shoulder activity score of shoulder pain were significantly improved after treatment,and there was significant difference before and after treatment.And no adverse events occurred in the course of this study.Conclusion:Four-step manual release of shoulder adhesion under brachial plexus block anesthesia has the advantages of simple operation,no pain during operation and good compliance of patients.It is an effective method on the treatment of scapulohumeral periarthritis during freezing period.