中西医结合治疗肩周炎疗效观察

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。

Curative Effect Observation of Periomitis Treated by Traditional Chinese and Western Medicine

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.