CAJ | 학술논문

目的：总结运用手牵足蹬手法结合中药外敷治疗37例肩关节脱位的临床疗效。方法：采用手牵足蹬手法结合本科室骨伤熏洗2号方治疗肩关节脱位37例，其中喙突下脱位25例，盂下脱位11例，锁骨下脱位1例；单纯脱位33例，合并肱骨大结节小片撕脱骨折4例，所有患者均根据临床表现和肩关节X线片确诊。结果：本组病例痊愈30例，显效5例，好转2例，总有效率为100％。结论：手法整复结合本院自制骨伤熏洗2号方外敷治疗肩关节脱位疗效可靠，方法简单，经济实惠，值得临床推广。
목적：총결운용수견족등수법결합중약외부치료37례견관절탈위적림상료효。방법：채용수견족등수법결합본과실골상훈세2호방치료견관절탈위37례，기중훼돌하탈위25례，우하탈위11례，쇄골하탈위1례；단순탈위33례，합병굉골대결절소편시탈골절4례，소유환자균근거림상표현화견관절X선편학진。결과：본조병례전유30례，현효5례，호전2례，총유효솔위100％。결론：수법정복결합본원자제골상훈세2호방외부치료견관절탈위료효가고，방법간단，경제실혜，치득림상추엄。
Objective:to summarize the clinical efficacy of using Hippocrates combined with Chinese medicine external treatment of 37 cases of shoulder joint dislocation .Methods: from April 2012 to February 2013 by Hippocrates combining fractures fumigation Ⅱ in treating of 37 cases whose shoulder joint dislocation ,including 30 cases of male, 7 cases of female; Aged from 15 to 72 years, mean age (36.1 ±4.9) years;The shortest duration after 0.5 h, the longest 3 d;under coronoid process dislocation in 25 cases, jar dislo-cation in 11 cases, subclavian dislocation in 1 case;Pure dislocation in 33 cases, small footprint of the merger of the greater tuberosity avulsion fractures in 4 cases, all patients according to clinical manifestations and shoulder joint X -ray diagnosis.Results: all cases healed 30 cases, accounting for 81.08%;5 cases were markedly improved (13.51%), Improvement in 2 cases, accounting for 5. 41%;0 case ineffective;Total efficiency of 100%.Conclusion:Manual reduction combined with our homemade fractures fumigationⅡreally reliable curative effect , topical treatment of shoulder joint dislocation and the treatment method is simple , economical and practical, is worth popularization and application in the clinical practice .