罗哌卡因-亚甲蓝区域阻滞结合手法推拿治疗肩周炎的临床研究

发布时间：2018-02-12 01:09

本文关键词： 肩周炎区域阻滞手法推拿罗哌卡因亚甲蓝　出处：《时珍国医国药》2007年06期 　论文类型：期刊论文

【摘要】：目的观察罗哌卡因-亚甲蓝复合液行区域阻滞结合手法推拿治疗肩周炎的临床效果,并对3种不同配方所产生的作用进行对比分析。方法96例肩周炎患者被随机分为3组:A组30例,用0.5%罗哌卡因15 ml;B组30例,用0.25%罗哌卡因15 ml;C组36例,用0.25%罗哌卡因13.5 ml+1%亚甲蓝1.5 ml,分别于喙突、肩峰下、肱骨小结节、肩胛上肌等处选择3~4个痛点行区域阻滞,然后行手法推拿治疗。1次/3 d,5次为1个疗程。治疗过程中采用VAS评分,1个疗程结束后对治疗效果进行综合评定。结果A,C两组在治疗过程中的镇痛效果明显好于B组(P0.05);1个疗程结束后C组治疗有效率与A,B两组比较有显著性差异(P0.05)。结论采用罗哌卡因-亚甲蓝复合液行区域阻滞能强化局麻药的作用,不仅能减轻手法推拿治疗期间患者的疼痛,并能明显提高肩周炎患者的治疗效果,具有可行性。
[Abstract]:Objective to observe the clinical effect of ropivacaine and methylene blue combined with regional block combined with manipulation massage in the treatment of periarthritis of shoulder. Methods 96 patients with scapulohumeral periarthritis were randomly divided into three groups: group A (n = 30), group B (n = 30) treated with 0.5% ropivacaine 15 ml, group C (n = 36) treated with 0.25% ropivacaine, group C (n = 36). 0.25% ropivacaine 13.5 ml 1% methylene blue 1.5 ml were used to block 3 ~ 4 pain points at coracoid process, subacromitis, humeral tubercle and suprascapular muscle, respectively. Then 1 / 3 days of massage therapy was used as a course of treatment. VAS score was used in the course of treatment, and the therapeutic effect was evaluated synthetically after one course of treatment. Results the analgesic effect of group A C was better than that of group B during the course of treatment. After one course of treatment, the effective rate of treatment in group C was significantly different from that in group A (P 0.05). Conclusion Regional block with ropivacaine and methylene blue can enhance the effect of local anesthetic. It can not only alleviate the pain of the patients during the treatment of manipulation massage, but also improve the treatment effect of the patients with periarthritis of shoulder obviously.
【作者单位】：湖北省黄石市第二医院湖北省黄石市第二医院湖北省黄石市第二医院湖北省黄石市第二医院湖北省黄石市第二医院
【基金】：湖北省黄石市科技局2006年科研立项项目(NO.2006-01)
【分类号】：R244.1;R686

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