首页|肩关节镜联合药物治疗肩峰下撞击综合征疗效分析

肩关节镜联合药物治疗肩峰下撞击综合征疗效分析

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目的 研究分析肩关节镜联合药物治疗肩峰下撞击综合征临床治疗效果.方法 选取宁波市奉化区人民医院2015年1月~2016年12月收治的20例肩峰下撞击综合征患者为本次研究过程中的研究对象.随机将选取的患者分为对照组和试验组2组,每组患者各为10例.对照组患者手术中进行关节镜下探查加肩峰下减压成型,试验组在对照组的基础上给予药物治疗,手术结束前在患者的关节腔内注射玻璃酸钠以及复方倍他米松注射液.比较试验组与对照组患者的治疗效果.结果 经过对应的治疗后,试验组与对照组患者均未出现并发症.试验组与对照组患者的VAS评分、肩关节外展以及外旋角度显著高于对照组患者,差异具有统计学意义(P<0.05).治疗后,试验组患者的VAS评分为(1.7±0.3)分,外旋角度为(36.5±13.5)°,肩关节外展为(110.5±3.7)°.可得,试验组患者VAS评分显著低于对照组患者,差异具有统计学意义(P<0.05),试验组方法治疗肩峰下撞击综合征效果更好.结论 肩关节镜联合药物治疗肩峰下撞击综合征的临床效果较好,能够有效缓解患者的疼痛,一定程度上恢复患者肩关节的功能,具有临床进一步推广和应用的意义.
Arthroscopic treatment of impingement syndrome with shoulder arthroscopy
Objective To investigate and analyze the clinical effect of shoulder joint impingement syndrome treated with shoulder arthroscopy combined with drugs.MethodsFrom January 2015 to December 2016, 20 patients suffering from impingement syndrome in People's Hospital of Fenghua District were selected as the subjects in this study.Randomly selected patients were divided into the control group and the experimental group two groups, each group of patients were 10 cases.The control group in patients with arthroscopic exploration plus subacromial decompression molding, experimental group was given drug treatment on the basis of the control group, before the end of surgery in patients with intra-articular injection of sodium hyaluronate and Compound Betamethasone Injection.The therapeutic effects of the experimental group and the control group were compared.ResultsAfter the corresponding treatment, there were no complications in the experimental group and the control group.The VAS scores, shoulder abduction and external rotation angles of the experimental group and the control group were significantly higher than those of the control group, with statistical difference (P<0.05).After treatment, the VAS score of the experimental group was (1.7±0.3) points, the external rotation angle was (36.5±13.5) degrees, and the shoulder abduction was (110.5±3.7) degrees.The score of VAS in the experimental group was significantly lower than that in the control group, and there was a statistical difference (P<0.05).ConclusionThe clinical effect of arthroscopic subacromial impingement syndrome combined with drug treatment, can effectively relieve the pain of the patients, improve the patient's shoulder to a certain extent, with further clinical promotion and application significance.

shoulder arthroscopydrug treatmentimpingement syndromeclinical effect

沈冬君、贾学文、陈茂西、陈凯

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宁波市奉化区人民医院 骨科,浙江 宁波 315506

肩关节镜 药物治疗 肩峰下撞击综合征 临床效果

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(6)
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