肩周炎粘连期三种非手术疗法近期疗效比较

目的:探讨肩周炎粘连期(冻结肩)非手术治疗方法及疗效。方法:120例冻结肩按就诊顺序分为4组。1组采用主动运动疗法;2组采用运动疗法加激素注射;3组采用运动疗法、激素注射加手法松解;4组为对照组,采用休息、VitB1口服。结果:3周末优良率:运动组为50％;激素注射组为73.3％;手法松解组为83.3％;对照组为25.0％。除激素注射组与手法松解组两组之间无显著差异外,其余各组之间均有显著差异(P<0.05或P<0.01)。结论:采用阶梯式非手术治疗方法治疗冻结肩可取得较满意的临床疗效。

Effects on frozen shoulder with non-operative methods

Objective:In order to investigate the methods and effects of non -operative treatments for frozen shoulders.Method: 120 cases of frozen shoulders were divided into 4 groups according to their register order: group1 treated with simple active exercise of shoulder; group2 with exercise plus steroid nerve block; group3 with exercise, steroid nerve block and manipulation on frozen shoulder; and group4 as control group only oral vitamin B1,B6 and rest at home.Result:The Excellent and Good effect rate at the end of 3 weeks was 50.0% in groupl;73.3% in group2;83.3% in guoup3,and 25.0% in group 4.The Excellent and Good effect rates among thee groups were significantly difference (P<0.05,P<0.01). Conclusion:The results suggest that frozen shoulder can respond well to above non-operative treatment with "step by step" method.