| 上举内收旋转患肢复位法治疗肩关节脱位的病例对照研究 |
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Received:September 19, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 方军 |
FANG Jun |
河池市人民医院骨科,广西 河池 547000 |
Department of Orthopaedics,the Hechi Peoples' Hospital,Hechi 547000,Guangxi,China |
fangjunzfq@163.com |
| 张凤清 |
ZHANG Feng-qing |
河池市人民医院骨科,广西 河池 547000 |
Department of Orthopaedics,the Hechi Peoples' Hospital,Hechi 547000,Guangxi,China |
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| 吴胜锋 |
WU Sheng-feng |
河池市人民医院骨科,广西 河池 547000 |
Department of Orthopaedics,the Hechi Peoples' Hospital,Hechi 547000,Guangxi,China |
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| 卢长魏 |
LU Chang-wei |
河池市人民医院骨科,广西 河池 547000 |
Department of Orthopaedics,the Hechi Peoples' Hospital,Hechi 547000,Guangxi,China |
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| 莫艺忠 |
MO Yi-zhong |
河池市人民医院骨科,广西 河池 547000 |
Department of Orthopaedics,the Hechi Peoples' Hospital,Hechi 547000,Guangxi,China |
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| 罗国富 |
LUO Guo-fu |
河池市人民医院骨科,广西 河池 547000 |
Department of Orthopaedics,the Hechi Peoples' Hospital,Hechi 547000,Guangxi,China |
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| 覃祖恩 |
TAN Zu-en |
河池市人民医院骨科,广西 河池 547000 |
Department of Orthopaedics,the Hechi Peoples' Hospital,Hechi 547000,Guangxi,China |
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| 吴毅华 |
WU Yi-hua |
河池市人民医院骨科,广西 河池 547000 |
Department of Orthopaedics,the Hechi Peoples' Hospital,Hechi 547000,Guangxi,China |
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| 韦仁杰 |
WEI Ren-jie |
河池市人民医院骨科,广西 河池 547000 |
Department of Orthopaedics,the Hechi Peoples' Hospital,Hechi 547000,Guangxi,China |
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| 期刊信息：《中国骨伤》2013年26卷，第1期，第16-18页 |
| DOI：10.3969/j.issn.1003-0034.2013.01.005 |
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目的：采用“上举、内收、旋转”整复手法治疗肩关节脱位,探讨其临床疗效,并对其机制进行研究.
方法：自2010年1月至2012年3月收治肩关节脱位120例,分为治疗组和对照组,各60例.治疗组男31例,女29例;采用“上举、内收、旋转”手法整复治疗.对照组男30例,女30例;运用传统整复方法,即足蹬牵引法进行治疗.比较两种方法治疗肩关节脱位的疗效,并对复位过程中1次复位成功率、患者的疼痛程度(VAS评分)进行比较.
结果：治疗组1次复位成功59例,治疗后VAS值平均(3.76±1.05)分;优57例,良2例,差1例;无骨折及神经损伤等并发症,随访3个月无再脱位发生.对照组1次整复成功50例,治疗后VAS评分(5.67±1.15)分;优45例,良7例,差8例.治疗组患者1次整复成功率、疼痛的改善及临床疗效均优于对照组.
结论：“上举、内收、旋转”法较足蹬牵引法具有用力均匀、合力集中、省时省力、轻松便捷、避免医源性损伤等优点. |
| [关键词]:肩脱位 正骨手法 病例对照研究 |
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| Manipulation of superduct,adduction,rotation for the treatment of shoulder dislocation |
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Abstract:
Objective: To study the mechanism and clinical effect of using the manipulatin of move,adduction,rotation method for the treatment of shoulder dislocation.
Methods:from January 2010 to March 2012,120 patients with shoulder dislocation admitted were randomly divided into treatment group and control group,60 cases in each group. In the treatment group,there were 31 males and 29 females;In control group,there were 30 males and 30 females. In treatment group,60 patients create their own “on the move,adduction,rotation manipulative treatment,the other 60 cases in control group used traditional restoration methods in wearing the traction treatment. The efficacy of two methods of treatment of shoulder dislocation were compared on reset process once successfully rate,the patient's level of pain (VAS).
Results:In treatment group,restoration once successfully were in 59 cases,improvement of the pain (VAS) values was 3.76±1.05,the results were excellent in 57 cases,good in 2,poor in 1,without concurrent fractures and nerve injury,without re-dislocation after 3 months. In control group,restoration once successfully were in 50 cases,improvement of pain (VAS) values was 5.67±1.15,the results were excellent in 45 cases,good in 7,poor in 8. The reset once successfully rate,improvement of VAS values and clinical effect in treatment group were better than that of control group.
Conclusion:On the move,adduction,rotation method has advantages of more wearing traction with uniform force,work together to focus,saving time and effort,easy and convenient to avoid iatrogenic injury. |
| KEYWORDS:Shoulder dislocation Bone setting manipulation Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 方军,张凤清,吴胜锋,卢长魏,莫艺忠,罗国富,覃祖恩,吴毅华,韦仁杰.上举内收旋转患肢复位法治疗肩关节脱位的病例对照研究[J].中国骨伤,2013,26(1):16~18 |
| 英文格式: | FANG Jun,ZHANG Feng-qing,WU Sheng-feng,LU Chang-wei,MO Yi-zhong,LUO Guo-fu,TAN Zu-en,WU Yi-hua,WEI Ren-jie.Manipulation of superduct,adduction,rotation for the treatment of shoulder dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(1):16~18 |
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