| 卓秋贵.中西医结合治疗肩周炎疗效观察[J].实用中西医结合临床,2007,(1):2-3 |
| 中西医结合治疗肩周炎疗效观察 |
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| DOI： |
| 中文关键词: 肩周炎 分期治疗 神经阻滞 小针刀 |
| 英文关键词: periomitis staying treatment nerve block little aerobnife |
| 基金项目: |
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| 中文摘要: |
| 目的：通过对肩周炎进行规范诊断和分期综合治疗观察，寻求一种令人较为满意的治疗方案。方法：规范诊断标准，并进行分期，有针对性、阶梯式地把神经阻滞、小针刀疗法、痛点局部阻滞、手法松解以及关节改善剂注射等措施进行有机地结合，治疗观察93例。结果：冻结开始期56例中有3例需追加臂丛神经阻滞下手法松解，27例冻结期患者有3例行两次手法松解，6例行玻璃酸钠关节内注射。全组病人治疗结果：痊愈79例，显效10例，好转4例。疗程15~43d不等。结论：肩周炎的治疗，首先应明确诊断标准，并根据肩周炎的基本病理和产生疼痛的机制，把握病程各期的主要特点和矛盾，灵活运用多种治疗方法，制定综合治疗方案，并根据临床疗效反复评估分期判断，适时调整治疗措施，方能取得良效。 |
| 英文摘要: |
| Objective:To get a more satisfying treatment procedures ,we had retrospectively anatysed the clinical data of standardized dingnosis and staged comprehensive treatment of periomitis.Methods:we had standardized dingnostic critia and studied treatment effects of periomitis through individualized therapy such as nerve blocking ,little aerobnife therapy,local anaesthesia of ache-point, manual lysis and medication of joint cavity.Results:At the initiation of frozen period,manual release under brachial plexus nerve block need to be operated to 3 patients in 56 patients ,however,at the frozen period,3 patients were treated with twice manual release,and 6 patients were injected sodium hyaluronate intoarticular cavity.As aresult,79 patients were healed,and 10 petients had an effective improvement,4 patients took a favorable turn.The period of treated were 15~43 days.Conclusion:It is important to understand the basic pathology and pain-producing mechanism of peritonitis and make definite diagnostic critia.In order to secure a better therapentic result, we should grasp the main characteristive and contradiztion of these cases and make an in time flexible,comprehensive,individualized way. |
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