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目的观察无痛快速康复综合疗法治疗冻结期原发性冻结肩的近期疗效。方法收集30例冻结期原发性冻结肩患者,在臂丛麻醉结合丙泊酚静脉麻醉下行手法松解术,术后予综合镇痛措施和功能康复锻炼指导,随访观察肩关节疼痛程度和功能情况变化。结果 30例患者均随访成功,治愈26例,好转3例,未愈1例。无肩部骨折、脱位及神经血管损伤等并发症发生。结论无痛快速康复综合疗法能够迅速增加患者肩关节活动度,缓解疼痛,实现肩关节功能快速康复,安全有效。
Objective To observe the short-term curative effect of comprehensive treatment of painless rapid rehabilitation on frozen primary frozen shoulder. Methods Thirty patients with frozen primary frozen shoulders were collected and treated by brachial plexus anesthesia combined with propofol intravenous anesthesia. Postoperative comprehensive analgesic measures and functional rehabilitation training were followed up to observe the degree and function of shoulder pain Changes in circumstances. Results All 30 patients were followed up successfully, 26 cases were cured, 3 cases improved, and 1 case was unhealed. No shoulder fracture, dislocation and neurovascular injury and other complications occurred. Conclusion The painless rapid rehabilitation comprehensive therapy can rapidly increase the shoulder mobility of patients, relieve pain and achieve rapid recovery of shoulder joint function, which is safe and effective.