龙血竭胶囊配合神经阻滞治疗肩周炎临床观察

【目的】探讨口服龙血竭胶囊配合肩胛上神经肩关节支阻滞治疗肩关节周围炎的效果。【方法】肩关节周围炎38例41肩,口服龙血竭胶囊4粒,每天3次,30 d为1个疗程。于肩胛上神经主干的外侧1.5 cm处,采用利多卡因和醋酸曲安奈德的混合液对肩胛上神经肩关节支进行阻滞,每肩治疗1～2个疗程。【结果】(1)经6～24个月(平均11个月)的随访,患肩疼痛减轻、日常功能改善、运动范围增加,与治疗前比较差异均有统计学意义(P<0.01)。治疗后患肩前屈、上举、外展、内旋与正常参考值间差异均无统计学意义(P>0.05),表明治疗后患肩的运动范围已基本恢复到正常肩水平。(2)安全性评价:治疗后全部病例均无明显并发症发生。【结论】龙血竭胶囊配合肩胛上神经关节支阻滞是治疗肩关节周围炎较为安全有效的方法。

Therapeutic Effect of Resina Draconis Capsule Combined with Nerve Block for Scapulohumeral Periarthritis

Objective To observe the therapeutic effect of Resina Draconis Capsule(RDC) combined with nerve block for scapulohumeral periarthritis.Methods Thirty-eight scapulohumeral periarthritis patients(involving 41 shoulders)took 4 capsules of RDC orally per day,three times a day,and 30 days constituted one treatment course.Nerve block with the mixture of lidocaine and triamcinolone acetonide was performed at lateral 1.5cm of suprascapular nerve stem to block the shoulder joint branch.Each shoulder was given one or two treatment courses.Results The results of the follow-up covering 6-24 months(averaged 11 months) showed that the pain of the affected shoulder was relieved,daily activities were improved,and movement range was increased,the difference being significant compared with those before treatment(P<0.01).The angles of anterior flexion,superduct,abduction and inward turning in patients after treatment arrived to the normal level(P>0.05).No complications occurred during the treatment.Conclusion RDC combined with nerve block on the shoulder joint branch of suprascapular nerve is effective and safe for treatment of scapulohumeral periarthritis.