玻璃酸钠注射联合关节松动术治疗急性期肩周炎临床的的疗效观察.docVIP

玻璃酸钠注射联合关节松动术治疗急性期肩周炎临床的的疗效观察 　　【摘要】 目的 探讨肩周炎急性期非手术治疗方法及疗效。方法 160例肩周炎按就诊顺序分为4组。A组常规采用休息加维生素口服,B组冷疗,C组采用冷疗加玻璃酸钠(SH)注射;D组采用冷疗、玻璃酸钠(SH)注射理疗加关节松动术。结果 2周后4组患者治疗评分均优于治疗前(PCBA(P0.05))。结论 应用玻璃酸钠行肩关节腔注射,再联合关节松动术,可使肩关节疼痛缓解,关节活动度改善,预防了因肿胀、疼痛及关节活动受限所引起的关节软骨退变。 　　【关键词】 肩周炎;急性期;冷疗;玻璃酸钠;关节松动术 　　 　　Clinical curative effect observation on sodium hyaluronate injection combined with joint mobilization techniques in treatment of scapulohumeral periarthritis in acute phase 　　 　　LIANG Jing-rong,RAO Han-rong,CHEN Xi-yan,et al. 　　DepartmentofEmergency、Deparment of Orthopaedic, Dong FengHospital,Zhong ShanCity 528400,China 　　 　　【Abstract】 Objective To explore the non-surgical treatment method and effect of scapulohumeral periarthritis in acute phase. Methods 160 patients with scapulohumeral periarthritis were divided into four groups according to visit order. Resting and oral vitamin were regular used in group A, Cold Therapy in Group B, cryotherapy and sodium hyaluronate (SH) injection were adopted in group C; group D were treated with cryotherapy, sodium hyaluronate (SH) injection and joint mobilization techniques.Results Treatment scores of patients in 4 groups were better than pretherapy after 2 weeks treatment (PCBA (P0.05)). Conclusion Shoulder joint cavity injection of sodium hyaluronate, and combined with the joint mobilization techniques enabled the shoulder pain relief, improved joint activity and prevented the degeneration of articular cartilage caused by swelling, pain and restricted joint movement. 　　【Key words】 Scapulohumeral periarthritis;Acute phase;Cold therapy;Sodium hyaluronate;Joint mobilization techniques 　　 　　肩关节周围炎简称肩周炎,女性与男性之比约3:1,常与肱二头肌长头腱鞘炎同时发生,主要表现为疼痛与关节活动度逐渐缩小。临床上常将病程分为3期,即第1期为急性期或疼痛期;第2期为慢性期;第3期为恢复期[1]。本文选择2006年1月至2008年12月诊治的宿周炎患采用非手术疗法进行治疗,并探讨临床疗效,现将结果报道如下。 　　1 资料与方法 　　1.1 一般资料 选择2006年1月至2008年12月本院门诊诊治的急性期肩周炎160例,均为本院门诊患者。主要症状为一侧肩关节活动范围受限,疼痛难忍,严重影响正常生活,诸如穿衣梳头等。主要体征:主要在肩关节周围,肱二头肌短头附着点、肱二头肌长头腱鞘部、三角肌、肩胛提肌附着点、冈上肌、冈下肌等,其中有二个以上明显压痛点。X线摄片后排除骨折、关节脱位及其他关节