目的 分析超声引导臂丛神经后束阻滞联合手法松解应用于冻结肩的治疗效果。方法 收集无锡市第八人民医院2022年1月1日至2024年1月1日期间疼痛科收治的行择期冻结肩松解治疗的40例冻结肩住院患者为研究对象,以数字抽取方法分作两组(对照组/观察组,每组20例)。对照组应用臂丛神经阻滞联合手法松解治疗,观察组应用臂丛神经后束阻滞联合手法松解治疗,对比两组治疗效果。结果 观察组相关评分、影像学指标、血清炎症因子水平、肩关节活动度均优于对照组(P<0.05)。结论 超声引导臂丛神经后束阻滞联合手法松解治疗冻结肩疗效显著,可有效缓解患者疼痛,改善其肩关节功能,减轻其炎症反应,从而促进其肩关节活动度的提升。
Abstract
Objective Analyze the therapeutic effect of ultrasound-guided brachial plexus block combined with manual release on frozen shoulder. Methods Forty hospitalized frozen shoulder patients who underwent elective frozen shoulder release treatment in the Pain Department of Wuxi Eighth People's Hospital from January 1, 2022 to January 1, 2024 were collected as samples and divided into two groups (control group/ observation group, 20 cases in each group) using digital extraction method. The control group was treated with brachial plexus block combined with manual release, while the observation group was treated with brachial plexus posterior bundle block combined with manual release. The treatment effects of the two groups were compared. Results The observation group's related scores, imaging indicators, serum inflammatory factor levels, and shoulder joint range of motion were all superior to the control group (P<0.05). Conclusions Ultrasound guided brachial plexus block combined with manual release therapy has significant therapeutic effects on frozen shoulder, effectively relieving patients' pain, improving their shoulder joint function, reducing their inflammatory response, and promoting the improvement of shoulder joint mobility.
关键词
超声引导 /
臂丛神经后束阻滞 /
手法松解 /
冻结肩 /
治疗效果
Key words
Ultrasound guidance /
Brachial plexus block /
Technique relaxation /
Frozen shoulder /
treatment effect
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 江帆,姚侠,张悦,等. 臂丛神经阻滞下针刺松解肌筋膜触发点治疗肩关节周围炎的效果[J]. 中国医药导报,2024,21(1):112-116.
[2] 袁明峰,顾汉瑞,周巍巍,等. 超声引导臂丛阻滞下手法松解联合肩胛上神经脉冲射频治疗肩周炎的近期疗效[J]. 中华疼痛学杂志,2022,18(4):515-519.
[3] 梁文杰,方朝义,沈莉,等. 实验诊断学在现行《中医病证诊断疗效标准》中的应用分析[J]. 河北中医药学报,2011,26(2):47-48.
[4] 钱万新,刘吉. 超声引导下臂丛神经阻滞麻醉与静脉全麻在肩周炎手法松解术中的应用效果比较[J]. 临床医学研究与实践,2024,9(14):83-8691.
[5] 楼洁,李丹升. 桡骨远端粉碎性骨折采用超声引导下臂丛神经阻滞的应用效果分析[J]. 浙江创伤外科,2024,29(7):1374-1376.
[6] 王辉. 超声引导下臂丛神经阻滞在老年高血压患者锁骨骨折切开复位中的应用分析[J]. 中文科技期刊数据库(文摘版)医药卫生,2024(2):0041-0043.
[7] 曾国红,王海泉,祝家群. 超声引导肌间沟臂丛联合颈中间丛神经阻滞在锁骨手术的应用效果[J]. 浙江创伤外科,2024,29(5):954-956.
[8] 刘华艳,钱秋,王娅静,等. 超声引导下臂丛神经阻滞联合静脉麻醉在儿童上肢骨折术中的应用效果[J]. 现代临床医学,2024,50(2):97-100.
[9] 潘丽霞,何文政,冯丝丝,等. 超声引导喙突锁骨下入路和肌间沟入路臂丛神经阻滞在行上肢手术患者中的应用效果分析[J]. 中国社区医师,2024,40(21):42-44.
[10] 王超南,张曙报,潘洪. 超声引导下改良肋锁间隙臂丛神经阻滞在前臂手术中的应用研究[J]. 浙江创伤外科,2024,29(2):370-373.