摘要
目的介绍臂丛麻醉下一次性手法松解术治疗肩关节粘连的具体方法并对其疗效进行客观评定。方法对2005年1月—2007年10月200例确诊为肩粘连患者采用随机分组方法分为治疗组、对照组,分别采用臂丛麻醉下（肌间沟法）一次性手法松解治疗＋自主功能锻炼和单纯手法＋自主功能锻炼的方法治疗。结果治疗组仅一次即可使患肩恢复正常活动范围,术后经较短时间（1-2周）的自主功能锻炼,疼痛消失,活动自如,治愈率为68%,总有效率为100%,对照组治愈率8%,总有效率为78.00%。结论本研究所采用的整套手法能将肩关节各部位的粘连充分、彻底地解除,使关节恢复各方向的活动。治疗组的治愈率及总体疗效显著优于对照组（P〈0.05）。
Objective To introduce a specific method of manipulation under brachial plexus anesthesia for treatment of frozen shoulder and evaluate its clinical curative effects. Methods Two hundreds cases of frozen shoulder ,examined from January 2005 to October 2007, were randomly divided into therapy group and control group. The therapy group was given the treatment of manipulation under brachial plexus anesthesia plus selffunctional exercise and the control group was given simple manipulation plus self-functional exercise. Results Patients in therapy group recovered to normal state only with one clinical treatment and functioned smoothly after shorter period （1 - 2 w） of self-function exercises. The curing rate in thearpy group was 68% and the total effective rate was 100%. The curing rate in control group was 8% and the total effective rate was 78.00%. Conclusion The whole set of this manipulation employed in this study can completely disorganize the adhesions around different parts of shoulders, and thus relieve the joints from stiffness into free movement. The curing rate and the total curative effect of therapy group were much higher than control group （ P 〈 0.05 ）.
出处
《同济大学学报（医学版）》
CAS
2008年第3期84-86,共3页
Journal of Tongji University(Medical Science)
关键词
手法
臂丛麻醉
肩关节粘连
manipulation
brachial plexus anesthesia
frozen shoulder
