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[1]潘建科,李嘉暉,楊偉毅,等.麻醉下手法松解聯(lián)合肩關(guān)節(jié)周圍注射改良“雞尾酒”及護(hù)肩操鍛煉治療凍結(jié)肩[J].中醫(yī)正骨,2021,33(09):56-60.
 PAN Jianke,LI Jiahui,YANG Weiyi,et al.Manipulation under anesthesia combined with peri-shoulder modified cocktail injection and shoulder exercises for treatment of frozen shoulder[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(09):56-60.
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麻醉下手法松解聯(lián)合肩關(guān)節(jié)周圍注射改良“雞尾酒”及護(hù)肩操鍛煉治療凍結(jié)肩()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年09期
頁碼:
56-60
欄目:
臨床報道
出版日期:
2021-09-20

文章信息/Info

Title:
Manipulation under anesthesia combined with peri-shoulder modified cocktail injection and shoulder exercises for treatment of frozen shoulder
作者:
潘建科李嘉暉楊偉毅候森榮肖志鋒羅明輝劉軍
(廣州中醫(yī)藥大學(xué)第二附屬醫(yī)院,廣東 廣州 510120)
Author(s):
PAN JiankeLI JiahuiYANG WeiyiHOU SenrongXIAO ZhifengLUO MinghuiLIU Jun
關(guān)鍵詞:
關(guān)節(jié)周圍炎 肩凝癥 麻醉 手法松解 “雞尾酒” 注射 體操 康復(fù)
摘要:
目的:觀察麻醉下手法松解聯(lián)合肩關(guān)節(jié)周圍注射改良“雞尾酒”及護(hù)肩操鍛煉治療凍結(jié)肩的臨床療效和安全性。方法:2019年7月至2021年2月,采用麻醉下手法松解聯(lián)合肩關(guān)節(jié)周圍注射改良“雞尾酒”及護(hù)肩操鍛煉治療凍結(jié)肩患者59例。男19例,女40例。均為單側(cè)凍結(jié)肩,左側(cè)30例、右側(cè)29例。年齡40~79歲,中位數(shù)57歲。原發(fā)性50例,繼發(fā)性9例。均不合并肩袖撕裂,均不合并血液病、心血管疾病等系統(tǒng)性疾病。均排除銀屑病關(guān)節(jié)炎以及因服用阿那曲唑片、來曲唑片等藥物引起的繼發(fā)性凍結(jié)肩,均排除磺胺類藥物過敏者。記錄術(shù)前和術(shù)后1 d、1周、1個月患者肩部疼痛視覺模擬量表(visual analogue scale,VAS)評分、Constant-Murley肩關(guān)節(jié)評分、美國肩肘外科評分,隨訪觀察并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲1個月隨訪。患者肩部疼痛VAS評分隨時間呈下降趨勢[(5.68±1.12)分,(2.24±0.92)分,(2.42±0.67)分,(1.19±0.71)分,F=299.683,P=0.000],Constant-Murley肩關(guān)節(jié)評分和美國肩肘外科評分隨時間均呈上升趨勢[(44.17±4.84)分,(84.08±6.76)分,(88.31±3.98)分,(89.07±3.74)分,F=1 446.927,P=0.000;(43.03±5.05)分,(85.85±8.17)分,(89.93±4.72)分,(91.24±4.24)分,F=1 000.165,P=0.000]。均未發(fā)生嚴(yán)重胃腸道反應(yīng)和肩周軟組織再次粘連等并發(fā)癥。結(jié)論:采用麻醉下手法松解聯(lián)合肩關(guān)節(jié)周圍注射改良“雞尾酒”及護(hù)肩操鍛煉治療凍結(jié)肩,能夠顯著緩解肩部疼痛,改善肩關(guān)節(jié)功能,且安全性高。

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備注/Memo

備注/Memo:
基金項目:廣東省中醫(yī)藥局科研項目(20181119); 廣東省中醫(yī)院中醫(yī)骨傷科傳統(tǒng)特色療法傳承創(chuàng)新研究和暢氣通絡(luò)推拿法治療肩周炎臨床研究項目(粵財社〔2018〕8號)
通訊作者:劉軍 E-mail:[email protected]
更新日期/Last Update: 1900-01-01