冻结肩手法松解后关节腔内注入臭氧及玻璃酸钠的疗效观察

目的 比较手法松解肩关节后肩关节腔内注入臭氧、玻璃酸钠及肩周痛点阻滞与手法松解肩关节后肩周痛点阻滞治疗冻结期的肩关节周围炎患者的两种治疗方法 的临床疗效.方法 研究组静脉全麻下手法松解肩关节后肩关结腔内注入浓度20μg/mL的臭氧20~40 mL、玻璃酸钠2 mL及肩周痛点阻滞治疗冻结期的肩关节周围炎患者共32例,对照组静脉全麻下手法松解肩关节后肩周痛点阻滞治疗冻结期的肩关节周围炎30例,2组患者松解后均进行正规、系统的肩关节功能锻炼,行临床疗效分析.结果 2组患者在治疗1周、2周、3周后的治疗效果,研究组明显高于对照组,差异有统计学意义(P<0.05).结论 静脉全麻下手法松解肩关节及周围组织后肩关结腔内注入臭氧及玻璃酸钠治疗冻结期的肩关节周围炎安全、效果好、疗程短.

Effect of Intraarticular Hyaluronic Acid Sodium and Ozone Injection on Shoulder Joint Osteoarthritis after Shoulder Adhesion

Objective To compare the therapeutic effects on shoulder joint osteoarthritis after shoulder adhesion between itraarticular Hyaluronic Acid Sodium and ozone injection and pain spot block method.Methods The patients were divided intro two groups: study group and control group.Study Group:32 patients were treated by intraarticularly injecting Hyaluronic Acid Sodium 20 ug/mL and ozone 20～40 mL for shoulder joint osteoarthritis after shoulder adhesion.Control Group:30 patients were treated by pain spot block method.Results The treatment efficacy of Study group was significant higher than Control group one week,two week and three weeks after treatment,there was a statistically significant difference between study group and control group(P<0.05).Conclusion The treatment by intraarticular Hyaluronic Acid Sodium and ozone injection for shoulder joint osteoarthritis after shoulder adhesion is a safe,effective and short term treatment method.