臂丛神经阻滞麻醉下手法松解术联合小针刀治疗肩周炎患者的效果OA
Effect of Manipulation Release Combined with Small Needle Knife under Brachial Plexus Nerve Block Anesthesia in the Treatment of Patients with Scapulohumeral Periarthritis
目的:观察臂丛神经阻滞麻醉下手法松解术联合小针刀治疗肩周炎患者的效果.方法:选择 2021 年 12 月—2022 年 12 月厦门市中医院收治的 68 例肩周炎患者作为本次研究对象,根据随机数表法分为观察组和对照组,各 34 例.对照组采用小针刀治疗,观察组采用臂丛神经阻滞麻醉下手法松解术联合小针刀治疗,比较两组总有效率、肩关节功能、实验室指标及复发情况.结果:观察组治疗总有效率高于对照组,复发率低于对照组,差异有统计学意义(P<0.05);治疗前,两组Constant-Murley肩关节功能评分及实验室指标比较,差异无统计学意义(P>0.05);治疗后,两组Constant-Murley肩关节功能评分高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);治疗后,两组白细胞介素-10(IL-10)高于治疗前,血浆P物质(SP)、肿瘤坏死因子-α(TNF-α)、前列腺素E2(PGE2)低于治疗前,且观察组IL-10 高于对照组,SP、TNF-α、PGE2 低于对照组,差异有统计学意义(P<0.05).结论:肩周炎患者实施臂丛神经阻滞麻醉下手法松解术联合小针刀治疗,可改善肩关节功能、实验室指标,提高治疗效果,降低复发率.
Objective:To observe the effect of manipulation release combined with small needle knife under brachial plexus nerve block anesthesia in the treatment of patients with scapulohumeral periarthritis.Method:A total of 68 patients with scapulohumeral periarthritis who admitted to Xiamen Hospital of Traditional Chinese Medicine were selected as the subjects of this study,they were divided into observation group and control group according to the random number table method,34 cases in each group.The control group was treated by small needle knife,and the observation group was treated by manipulation release combined with small needle knife under brachial plexus nerve block anesthesia,the total effective rate,shoulder joint function,laboratory indexes and recurrence rate were compared between two groups.Result:The total effective rate of the observation group was higher than that of the control group,and the recurrence rate was lower that of the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in Constant-Murley shoulder function score and laboratory indexes between two groups(P>0.05);after treatment,the Constant-Murley shoulder function scores of two groups were higher than those before treatment,and which in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);after treatment,the levels of interleukin-10(IL-10)in two groups were higher than those before treatment,and the levels of plasma substance P(SP),tumor necrosis factor-α(TNF-α)and prostaglandin E2(PGE2)were lower than those before treatment,and the level of IL-10 in the observation group was higher than that in the control group,and the levels of SP,TNF-α and PGE2 in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Manipulation release combined with small needle knife under brachial plexus nerve block anesthesia in patients with scapulohumeral periarthritis can improve shoulder joint function and laboratory indexes,improve treatment effect and reduce recurrence rate.
李杰
厦门市中医院 福建 厦门 361000
肩周炎臂丛神经阻滞麻醉手法松解术小针刀肩关节功能复发率
Scapulohumeral periarthritisBrachial plexus nerve block anesthesiaManipulation releaseSmall needle knifeShoulder joint functionRecurrence rate
《中外医学研究》 2024 (010)
15-18 / 4
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