刘增韬 马斌 郑帮明 叶试南 李刚 苏凯燕

[摘要] 目的 研究靜脉全麻下手法松解配合中药外敷治疗肩周炎的临床疗效。 方法 选择于2018年6月～2019年12月经我科诊治的肩围炎患者100例。按随机数字表法分成对照组（n=50）和治疗组（n=50）。治疗组采用静脉麻醉下手法松解及外敷中药治疗，对照组采用针灸推拿常规理疗治疗，4周后比较两组的疗效、疼痛评分及关节活动度。 结果 经4周治疗后，治疗组患者治疗有效率为96.00%，明显高于对照组的82.00%，差异有统计学意义（P<0.05）;治疗后治疗组患者肩关节活动度和肩关节疼痛程度两项指标均优于对照组，差异有统计学意义（P<0.05）。结论 静脉全麻下手法松解配合中药外敷治疗肩周炎显著，值得临床推广应用。

[关键词] 肩周炎;静脉全麻;手法松解;中药外敷

[中图分类号] R686;R246          [文献标识码] B          [文章编号] 1673-9701（2020）17-0151-03

A study of release manipulation under intravenous general anesthesia combined with external application of Chinese medicine in the treatment of periarthritis of shoulder

LIU Zengtao1   MA Bin1   ZHENG Bangming1   YE Shinan1   LI Gang1   SU Kaiyan2

1.Department of Orthopaedics，Yunfu Traditional Chinese Medicine Hospital in Guangdong Province，Yunfu   527300，China;2.Department of Radiology，Yunfu Traditional Chinese Medicine Hospital in Guangdong Province，Yunfu 527300，China

[Abstract] Objective To study the clinical efficacy of release manipulation under intravenous general anesthesia combined with external application of traditional Chinese medicine in the treatment of periarthritis of shoulder. Methods A total of 100 patients with periarthritis of shoulder diagnosed and treated in our department from June 2018 to December 2019 were selected. According to the random number table method， they were divided into control group（n=50） and treatment group（n=50）. The treatment group was treated with release manipulation under intravenous anesthesia and external application of traditional Chinese medicine， and the control group was treated with conventional physical therapy with acupuncture and massage. After 4 weeks，the curative effect， pain score，and joint mobility of the two groups were compared. Results After 4 weeks of treatment，the effective rate of the treatment group was 96.00%， which was higher than 82.00% in the control group（P<0.05）.The indicators of shoulder mobility and pain in the treatment group were better than those in the control group，and the differences were statistically significant（P<0.05）. Conclusion The application of release manipulation under intravenous general anesthesia combined with external application of traditional Chinese medicine for periarthritis of shoulder is remarkable and worthy of clinical application.

[Key words] Periarthritis of shoulder;Intravenous general anesthesia;Release manipulation;External application of traditional Chinese medicine

肩周炎是一种以肩痛、肩关节活动障碍为主要特征的筋伤[1]。中医又称五十肩、漏肩风、冻结肩、肩凝症等。肩周炎好发于40～70岁的中老年人，以50岁最为多见。根据不同病理过程和病情状况，可分为急性疼痛期、粘连僵硬期、缓解恢复期。此病病程较长，一般在1年以上，长者可达2年以上，容易反复发作。严重者疼痛难忍，彻夜难眠，肩关节活动功能明显受限，常会出现肩关节周围肌肉、肌腱的广泛粘连，进而引起肩关节周围肌肉萎缩，严重影响患者生活和工作。本病部分患者虽然能自愈，但肩关节功能大部分不能完全恢复，且治疗疗程较长，疗效不确切，容易反复发作，容易加重患者的身体和经济负担。本研究应用静脉全麻下手法松解配合中药外敷治疗肩周炎，疗效显著，现报道如下。

1 资料与方法

1.1 一般资料

选取 2018年6月～2019年12月经我科诊治的肩围炎患者100例。……