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侧倾位椅背法在急性肩关节前脱位中的应用

Effect of Side Lying Chair-Back Reduction Method for Treatment of Acute Anterior Shoulder Dislocation
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摘要 目的通过对比侧倾位椅背法和改良椅背法治疗急性肩关节前脱位的临床疗效,评估侧倾位椅背复位法的临床价值。方法选取2013年11月至2017年3月本院急诊外科收治的54例肩关节前脱位患者,随机分为侧倾位椅背法组和改良靠背椅法组,各27例。比较两组患者的一次复位成功率、复位时间、肩关节功能评分、肩关节脱位复发率、并发症发生率。结果侧倾位椅背法组的一次复位成功率100%(27/27)、复位时间(1.16±0.69)min均显著优于改良靠背椅法组的85.19%(23/27)、(1.60±0.68)min(P<0.05)。结论侧倾位椅背法治疗急性肩关节前脱位优于改良椅背法,复位成功率更高、复位时间更短。 Objective To evaluate the clinical value of lateral position backrest reduction by comparing the effect of the side lying chair-back reduction method with the improved chair-back reduction method in the treatment of acute anterior shoulder dislocation. Methods From November 2013 to March 2017,54 patients with acute shoulder joint dislocation admitted to emergency department in our hospital were randomly divided into two groups. The experiment group was given side lying chair-back reduction,and the control group was given improved chair-back reduction.The success rate and the time used for joint reduction were compared between the two groups. ResultsThe success rate of joint reduction in the experiment group was 100%(27/27)and the time used for joint reduction(1.16±0.69)min,which was superior to 85.19%(23/27)and(1.60±0.68)min in the control group(P<0.05).Conclusions The effect of anterior shoulder dislocation of the side lying chair-back reduction method is superior to the improved chair-back reduction method,which has a higher success rate and less time used.
出处 《大医生》 2018年第5期6-7,共2页 Doctor
关键词 肩关节脱位 侧倾位椅背法 改良椅背法 复位 shoulder joint dislocation the side leaning back method improved chair back method reset
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