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臂丛麻醉下肩关节手法松解配合个性化治疗肩周炎的临床观察 被引量:20

Clinical Reaserch on Brachial Plexus Block with Manipulation under Anesthesia Combined with Individualized Treatment to Frozen Shoulder Patients
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摘要 目的探讨臂丛麻醉下肩关节手法松解配合个性化治疗的临床疗效。方法将124例患者随机分为臂丛麻醉下肩关节手法松解组(对照组)和臂丛麻醉下肩关节手法松解配合个性化治疗组(治疗组)。比较两组患者治疗前,治疗后2周、1月、3月SF-MPQ量表评分及肩关节综合功能评分。结果两组在治疗前的一般资料、SF-MPQ量表及肩关节综合功能评价均没有差异。两组治疗后SF-MPQ量表评分均明显降低。治疗组与对照组有显著性差异(P<0.05)。治疗组的肩关节综合功能评分在治疗后2周、1月、3月均明显高于对照组(P<0.05)。两组总有效率之间无显著性差异(P>0.05),但治愈率之间有显著性差异(P<0.05)。结论臂丛麻醉下肩关节手法松解配合个性化治疗肩周炎疗效良好。 Objective To evaluate the efficacy of brachial plexus block with manipulation under anesthesia combined with individual- ized treatment of frozen shoulder. Method 124 cases with frozen shoulder were divided randomly into two groups, control group: 60 patients were given brachial plexus block with manipulation under anesthesia treatment; treatment group: 64 patients were given the same procedure followed by individualized treatment. The SF - MPQ scores and the comprehensive score of shoulder by patients were recorded before and af- ter treatment. Results Before treatment, there were no statistically significant differences between the two groups in the baseline date, SF - MPQ scores and the comprehensive score of shoulder. After treatment in 2 weeks, 4weeks and 3 months, treatment group was significantly better than control group in SF -MPQ scores and the comprehensive score of shoulder. The total effective rate was no difference(P 〉 0.05 ), but there was a significant difference between the two groups in the curative rate (P 〈 O. 05). Conclusion Brachial plexus block with manip- ulation under anesthesia combined with individualized treatment was effective on treatment of frozen shoulder.
出处 《湖北中医药大学学报》 2014年第1期98-100,共3页 Journal of Hubei University of Chinese Medicine
关键词 肩周炎 推拿疗法 臂丛麻醉 肩关节手法松解 个性化治疗 frozen shoulder massage therapy brachial plexus block manipulation under anesthesia individualized treatment
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