摘要
目的探讨选择性颈神经根阻滞与静脉通路镇痛对冻结肩患者术后疼痛及肩关节功能恢复的影响。方法选择2017年6月至2020年6月我院收治的冻结肩患者78例,采用随机数字表法分为两组,各39例。对照组术后行静脉通路镇痛,观察组行选择性颈神经根阻滞。比较两组术后疼痛程度[采用视觉模拟评分表(VAS)评估]、肩关节功能[采用Constant-Murley肩关节功能评分]及并发症。结果观察组术后不同时点疼痛评分均低于对照组,术后1周、术后2周肩关节功能评分72.17±5.07分、80.04±5.67分均高于对照组的63.79±4.12分、68.78±4.78分,并发症发生率2.56%低于对照组20.51%,差异有统计学意义(P<0.05)。结论冻结肩患者术后实施选择性颈神经根阻滞镇痛效果优于静脉通路镇痛,利于减轻患者疼痛程度,促进肩关节功能恢复,降低并发症发生率。
Objective To investigate the effects of selective cervical nerve root block and venous analgesia on postoperative pain and shoulder joint function recovery in patients with frozen shoulder.Methods 78 patients with frozen shoulder admitted to our hospital from June 2017 to June 2020 were selected and divided into two groups by random number table method,with 39 cases in each group.The control group received intravenous analgesia after operation,and the observation group received selective cervical nerve root block.The postoperative pain degree[Visual analogue scale(VAS)was used for evaluation],shoulder joint function[Constant-Murley shoulder function score was used]and complications were compared between the two groups.Results The pain scores of the observation group at different points after surgery were lower than those of the control group.The shoulder joint function scores(72.17±5.07)and(80.04±5.67)were higher than those of the control group(63.79)at 1 week and 2 weeks after surgery.(63.79±4.12)points,(68.78±4.78)points,the complication rate(2.56%)was lower than the control group(20.51%),the difference was statistically significant(P<0.05).Conclusion The effect of selective cervical nerve root block analgesia in patients with frozen shoulder is better than that of intravenous analgesia,which is beneficial to reduce the pain of patients,promote the recovery of shoulder joint function,and reduce the incidence of complications.
作者
蔡可可
吕劲
CAI Keke;LV Jin(Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,330,000,Nanchang,Jiangxi.)
出处
《江西医药》
CAS
2021年第2期143-145,共3页
Jiangxi Medical Journal
基金
江西省中医药科研课题项目,编号2019A207。
关键词
冻结肩
选择性颈神经根阻滞
静脉通路镇痛
术后疼痛
肩关节功能
frozen shoulder
selective cervical nerve root block
intravenous access analgesia
postoperative pain
shoulder joint function
