Hippocrates 法结合中药外敷治疗肩关节脱位37例

目的：总结运用手牵足蹬手法结合中药外敷治疗37例肩关节脱位的临床疗效。方法：采用手牵足蹬手法结合本科室骨伤熏洗2号方治疗肩关节脱位37例，其中喙突下脱位25例，盂下脱位11例，锁骨下脱位1例；单纯脱位33例，合并肱骨大结节小片撕脱骨折4例，所有患者均根据临床表现和肩关节X线片确诊。结果：本组病例痊愈30例，显效5例，好转2例，总有效率为100％。结论：手法整复结合本院自制骨伤熏洗2号方外敷治疗肩关节脱位疗效可靠，方法简单，经济实惠，值得临床推广。

37 Cases of Shoulder Joint Dislocation Treatment by Hippocrates Combined with Traditional Chinese Medicine External Treatment

Objective：to summarize the clinical efficacy of using Hippocrates combined with Chinese medicine external treatment of 37 cases of shoulder joint dislocation .Methods： from April 2012 to February 2013 by Hippocrates combining fractures fumigation Ⅱ in treating of 37 cases whose shoulder joint dislocation ,including 30 cases of male, 7 cases of female; Aged from 15 to 72 years, mean age （36.1±4.9） years;The shortest duration after 0.5 h, the longest 3 d;under coronoid process dislocation in 25 cases, jar dislocation in 11 cases, subclavian dislocation in 1 case;Pure dislocation in 33 cases, small footprint of the merger of the greater tuberosity avulsion fractures in 4 cases, all patients according to clinical manifestations and shoulder joint X -ray diagnosis.Results： all cases healed 30 cases, accounting for 81.08%;5 cases were markedly improved （13.51%）, Improvement in 2 cases, accounting for 5. 41%;0 case ineffective;Total efficiency of 100%.Conclusion：Manual reduction combined with our homemade fractures fumigationⅡreally reliable curative effect , topical treatment of shoulder joint dislocation and the treatment method is simple , economical and practical, is worth popularization and application in the clinical practice .