肩肘弹力带固定结合练功疗法治疗外伤性肩关节松弛症临床对照试验

目的：观察肩肘弹力带外固定结合练功疗法治疗外伤性肩关节松弛症的治疗效果，并与肩肘吊带固定结合练功疗法进行比较。方法：80例外伤性肩关节松弛症患者随机分为2组（各40例），观察组和对照组。观察组（完成随访38例）男21例．女17例；年龄17～74岁，平均（48．4±21．3）岁；肩峰-肱骨头间距（acromio—humeralinterval，AHI）15—38mm，平均（22．7±10．2）mm；行肩关节肩肘弹力带固定并肩部肌肉锻炼、理疗、按摩、中药治疗。对照组（完成随访37例）男23例，女14例；年龄21～72岁，平均（45．8±23．4）岁；AHU15～35mm，平均（19．4±8．1）mm；行肩肘吊带固定并结合练功、理疗、按摩、中药治疗。比较两组的治疗效果。结果：观察组治愈29例（763％），好转7例（18．4％），未愈2例（5．3％）；对照组治愈15例（40．5％），好转15例（40．5％），未愈7例（19．0％）。两组疗效的差异有统计学意义（P〈0．01）。观察组AHI平均（11．9±5．1）mm（8—19mm），对照组平均（14．2±5．4）mm（8-27mm），两组差异有统计学意义（t=-2．7525，P〈0．01）。结论：肩肘弹力带固定并加强肩周肌肉锻炼，是治疗外伤性肩关节松弛症的安全、有效方法，疗效优于肩肘吊带固定。

A controlled clinical trial on the therapy of injured shoulder arthrochalasis by shoulder-elbow elastic band immobilization with functional exercise

Objective: To observe the therapeutic effects of shoulder-elbow elastic immobilization and functional exercise for injured shoulder arthrochalasis,and compare it with forearm-suspending immobilization and functional exercise therapy. Methods: The patients with injured shoulder arthrochalasis were randomly divided into treatment group (38 cases) and control group(37 cases). Treatment group underwent the therapy of shoulder-elbow elastic band immobilization and functional exercise;control group was managed by forearm-suspending band immobilization and functional exercise therapy. Results: In treatment group,29(76.3%)cases recovered,7(18.4%)improved and 2(5.3%)failed;in control group,15(40.5%)cases recovered,15(40.5%)cases improved and 7(19.0%)failed. The differences between two groups were statistically significant(P<0.01). The AHI(acromio-humeral interval) ranged from 8 to19 mm(11.9±5.1)in treatment group and 8 to 27 mm(14.2±5.4)in control group,and the difference was also statistically distinct(t=2.752 5,P<0.01). Conclusion: The treatment with shoulder-elbow elastic band immobilization and exercise therapy for injured shoulder arthrochalasis is a safe and effective method. Immobilization with shoulder-elbow elastic band is better than forearm-suspending band for injured shoulder arthrochalasis.