摘要
目的：观察肩胛上神经阻滞松解术治疗肩周炎的临床效果.方法：研究对象均为2010年2月-2013年3月我院收治的中晚期肩周炎患者112例，根据就诊顺序随机分为观察组56例和对照组56例，观察组给予肩胛上神经阻滞松解术，治疗两周后评价疗效.对照组标记肩部痛点，消毒，穿刺针垂直刺至患者有酸胀感觉，注入2-4 ml 2%利多卡因、25 mg醋酸强的松龙，每次3-5个痛点，1次/周，治疗4周后评价疗效.采用视觉模拟评分（visual analogue scale，VAS）对两组治疗前后的疼痛程度进行比较.结果：治疗后观察组VAS（2.20±0.67）分明显低于对照组（4.16±1.00）分，差异有统计学意义（t=12.185，P〈0.05）.观察组总有效率100.0%，对照组总有效率73.21%.两组总有效率比较差异有统计学意义（χ^2=17.320，P〈0.05）.结论：肩胛上神经阻滞松解术治疗肩周炎可有效减轻患者疼痛，效果显著，优于局部封闭治疗，值得临床推广应用.
Objective：To observe the clinical effect of suprascapular nerve block lysis in the treatment of scapulohumeral periarthritis. Methods：The study subjects were 112 patients with scapulohumeral periarthritis who were treated in our hospital form February 2010 to March 2013. They were randomly divided into observation group（56 cases）and control group（56 cases）according to their visiting sequences. The observation group was treated with suprascapular nerve block lysis method, the efficacy was evaluated after 2 weeks of treatment. In the control group, the shoulder pain points were marked, disinfected, vertically pierced with puncture needle until the patient felt acid bilges, injected 2-4 ml 2%lidocaine, 25 mg prednisolone acetate, 3 to 5 pain points every time, once a week, and the efficacy was evaluated after 4 weeks of treatment. Visual analog scale（VAS）was applied to compare the pain degrees before and after treatment. Results：After treatment, the VAS in the observation group（2.20 ± 0.67）was significantly lower than that of control group（4.16 ± 1.00）, the difference was statistically significant（t=12.185, P〈0.05）. The total efficiency of the observation group was 100%, of the control group was 73.21%, and there was statistical significance（χ2=17.320, P〈0.05）. Conclusion：Suprascapular nerve block lysis method can effectively reduce patients’pain in the treatment of scapulohumeral periarthritis, which is better than partial closure method and worthy of clinical application.
出处
《内蒙古民族大学学报（自然科学版）》
2014年第1期86-87,93,共3页
Journal of Inner Mongolia Minzu University：Natural Sciences
关键词
肩胛上神经阻滞
松解术
肩周炎
Suprascapular nerve block
Lysis
Scapulohumeral periarthritis
