肱骨骺端减压联合肩周软组织综合处理治疗重度肩痛.docVIP

精品论文 参考文献 肱骨骺端减压联合肩周软组织综合处理治疗重度肩痛 　荣雪芹1 李本田2 　　(1江苏省徐州肿瘤医院疼痛康复科lt;肿瘤门诊五楼gt; 221002;2江苏省邳州市议堂医院 221316 ) 　　【摘要】目的 评价肱骨骺端减压治疗重度肩痛疗效。方法 将120例顽固性肩痛患者（采取常规保守疗法无效）随机分为2组：对照组（简称软组织治疗组）仅给予：肩周软组织治疗（肩部各功能肌群等软组织），根据病情不同需要采用痛点和神经阻滞、射频或银质针松解粘连或挛缩组织、物理疗法（肩关节松动术、肩部软组织手法和牵伸训练、各种理疗）等综合肩关节康复方法，实验组即骨骺减压组，病人给予肩周软组织治疗等综合康复方法，并行肱骨骨骺端减压，以VAS疼痛视觉模拟评分法及改良)评分及肩关节ROM改善程度来评定疗效。结果 骨骺减压组经肩周软组织松解联合肱骨骺端减压治疗重度肩痛后，第一天夜间可见疼痛缓解，VAS评分下降显著，治疗后1、2、3周ROM功能改善，而对照组肩痛及肩关节ROM改善弱于实验组。结论 肩周软组织松解联合肱骨骺端减压可以治疗重度肩痛，迅速缓解疼痛改善肩关节功能，病程缩短，可以解决难治性肩痛，疗效突出。 　　【关键词】重度肩痛 无血管性坏死 肩关节各功能肌群 肱骨骺端 骨骺减压 　　【中图分类号】R493 【文献标识码】A 【文章编号】1672-5085（2013）39-0028-02 　　【Abstract】Purpose: To evaluate the decompression of brachial epiphyseal side in the efficacy treatment of refractory serious Shoulder Pain . Methodology: 120 patients with refractory serious Shoulder Pain (the conventional/conservative treatment has been taken but invalid) were randomly divided into two groups. Namely, control group(referred to as the soft tissue treatment group): shoulder soft tissue therapy (shoulder muscles and other soft tissue function),according to different needs of the disease pain points and nerve block, Radio Rrequency（RF） or silver needle lysesrsquo; of adhesions or contracture organizations, physical therapy (joint mobilization, shoulder soft tissue techniques and drafting training, a variety of treatments) and group therapy shoulder soft tissue humeral epiphysis side decompression group (referred to as the epiphysis decompression group), to assess and improve the efficacy of VAS pain visual analog scale) score and shoulder ROM improvement. 2. experimental group (epiphysis decompression group) shoulder soft tissue release joint brachial epiphysis end of decompression treatment of serious Shoulder Pain after the first day of the visible night pain relief. VAS score decreased significantly, treatment 1, 4, 8 weeks after shoulder pain disappeared and ROM function improved,