现代医药卫生2024,Vol.40Issue(8) :1285-1287,1294.DOI:10.3969/j.issn.1009-5519.2024.08.006

超声引导下定点神经阻滞治疗冻结肩的临床疗效

Clinical efficacy of ultrasound-guided fixed-point nerve block treatment for frozen shoulder

龚孝平 袁春艳
现代医药卫生2024,Vol.40Issue(8) :1285-1287,1294.DOI:10.3969/j.issn.1009-5519.2024.08.006

超声引导下定点神经阻滞治疗冻结肩的临床疗效

Clinical efficacy of ultrasound-guided fixed-point nerve block treatment for frozen shoulder

龚孝平 1袁春艳1
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作者信息

  • 1. 垫江县人民医院疼痛科,重庆 408300
  • 折叠

摘要

目的 观察超声引导下定点神经阻滞治疗冻结肩的临床疗效.方法 选取2020年9月至2022年3月该院临床诊断为冻结肩的患者68例,随机分为治疗组(35例)和对照组(33例).治疗组采用超声引导下定点神经阻滞+玻璃酸钠治疗,对照组采用普通神经阻滞+玻璃酸钠治疗.比较2组治疗前后临床治疗有效率、疼痛视觉模拟量表(VAS)评分和肩关节功能评分.结果 2组临床治疗总有效率比较,差异有统计学意义(P<0.05).2组治疗前VAS评分、肩关节功能评分比较,差异无统计学意义(P>0.05).治疗组治疗后VAS评分、肩关节功能评分均优于对照组,差异有统计学意义(P<0.05).2组在治疗及随访过程中均未出现明显不良反应.结论 超声引导下定点阻滞配合玻璃酸钠能有效改善冻结肩患者疼痛,且在改善关节功能活动方面,具有较好的短、中期疗效.

Abstract

Objective To observe the clinical efficacy of ultrasound-guided fixed-point nerve block treatment for frozen shoulder.Methods A total of 68 patients diagnosed with frozen shoulder in the hospital from September 2020 to March 2022 were randomly divided into the treatment group(35 cases)and the con-trol group(33 cases).The treatment group received ultrasound-guided fixed-point nerve block and sodium hy-aluronate treatment,while the control group received conventional nerve block and sodium hyaluronate treat-ment.The clinical treatment efficacy,pain visual analogue scale(VAS)scores,and shoulder joint function scores between the two groups before and after treatment were compared.Results There was statistical sig-nificance in the total effective rate between the two groups(P<0.05).There were no statistically significant differences in the VAS scores and shoulder joint function scores between the two groups before treatment(P>0.05).The VAS scores and shoulder joint function scores of the treatment group were better than those of the control group after treatment,and the differences were statistically significant(P<0.05).Both groups did not experience significant adverse reactions during treatment and follow-up.Conclusion Ultrasound-guided fixed-point block combined with sodium hyaluronate can effectively improve pain in frozen shoulder pa-tients,and has good short-term and medium-term efficacy in improving joint functional activity.

关键词

冻结肩/超声引导/阻滞/玻璃酸钠注射液/疗效

Key words

Frozen shoulder/Ultrasound-guided/Block/Sodium hyaluronate injection/Efficacy

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基金项目

重庆市垫江县科技局技术研发与示范应用项目(djkjxm2020shmskjcxywzd012)

出版年

2024
现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
参考文献量16
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