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A Case of Septic Arthritis of the Shoulder Joint That Developed after Suprascapular Nerve Block 认领
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作者 Taihei Go Toshiyuki Tsutsui +5 位作者 Yasuaki Iida Katsunori Fukutake Ryoichi Fukano Kosei Ishigaki Masayuki Sekiguchi Hiroshi Takahashi 《矫形学期刊(英文)》 2020年第2期25-32,共8页
Septic arthritis of the shoulder is uncommon in the immunocompetent patient with no previous risk factors for joint infection. We treated an immunocompetent patient who developed septic arthritis of the shoulder after... Septic arthritis of the shoulder is uncommon in the immunocompetent patient with no previous risk factors for joint infection. We treated an immunocompetent patient who developed septic arthritis of the shoulder after suprascapular nerve block for pain due to rotator cuff tear. An 80-year-old man with no underlying disease visited a nearby orthopedics clinic with complaint of left shoulder joint pain. Left suprascapular nerve block was performed, but the pain gradually aggravated. On the day after the block, he had a fever of 39&deg;C and came to our department. On examination, enlargement and tenderness were present at the injection site. Cellulitis at the site was suspected. He was admitted and administration of a cephem anti-biotic was started. Pain subsequently decreased. Magnetic resonance imaging (MRI) performed 4 days after hospitalization showed massive effusion close to the injection site. The effusion spread into the joint cavity through the tear site of the supraspinatus. Septic arthritis of the shoulder was strongly suspected, open irrigation and debridement were performed 11 days after hospitalization. After surgery, pain immediately improved. In our case the extra-articular infection caused by suprascapular nerve block considered to spread into the shoulder joint cavity through the site of rotator cuff tear, although there have been no reports of such cases. This case suggests the possibility that patients with rotator cuff tear may easily develop septic arthritis because extra-articular infection may spread into the joint cavity through the site of tear. 展开更多
关键词 SEPTIC ARTHRITIS of the SHOULDER Joint Suprascapular Nerve Block ROTATOR CUFF TEAR
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Role of shoulder gradient in the pathogenesis of rotator cuff tears 认领
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作者 Amir Sobhani Eraghi Mikaiel Hajializade +3 位作者 Ehsan Shekarchizadeh Shadi Abdollahi KordkandiDepartment of Orthopedics Rasul-e Akram Hospital Iran University of Medical Sciences 《世界骨科杂志:英文版》 2020年第4期206-212,共7页
BACKGROUND Shoulder gradient has been associated with shoulder pathologies such as shoulder impingement syndrome.AIM To investigate if there is an association between shoulder gradient and incidence of rotator cuff te... BACKGROUND Shoulder gradient has been associated with shoulder pathologies such as shoulder impingement syndrome.AIM To investigate if there is an association between shoulder gradient and incidence of rotator cuff tear(RCT).METHODS A total of 61 patients with a confirmed diagnosis of RCT were included in this retrospective study.The anteroposterior radiograph of the shoulder was used to measure shoulder gradient in adduction and neutral rotation positions.The pain level was assessed with the visual analog scale for pain.RESULTS The mean age of the patients was 55.7±12.3 years.The mean visual analog scale of the patients was 4.1±1.2.The mean shoulder gradient was 14.11 ±2.65 for the affected shoulder and 15.8 ±2.2 for the unaffected shoulders.This difference was not statistically significant(P=0.41).A difference of 1.15 ±1.82 was found between the injured and non-injured shoulder.No significant association was found between the gradient difference of the shoulder and demographic and clinical characteristics of the patients.CONCLUSION Shoulder gradient is not associated with the pathology of RCT.Yet,future studies with more standardization and a larger sample size are needed to investigate the role of shoulder gradient in RCT pathogenesis further. 展开更多
关键词 SHOULDER SHOULDER GRADIENT ROTATOR CUFF TEAR Pathogenesis ANATOMY
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Conversion to reverse shoulder arthroplasty fifty-one years after shoulder arthrodesis:A case report 认领
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作者 Melissa N Dogger Annelies F van Bemmel +1 位作者 Tjarco D W Alta Arthur van Noort 《世界骨科杂志:英文版》 2020年第10期465-472,共8页
BACKGROUND Patients with a shoulder arthrodesis generally experience restriction in range of motion and limitations in activities of daily living.In addition,up to one-third of the patients deals with serious peri sca... BACKGROUND Patients with a shoulder arthrodesis generally experience restriction in range of motion and limitations in activities of daily living.In addition,up to one-third of the patients deals with serious peri scapular pain.The conversion of a shoulder arthrodesis in a reverse shoulder arthroplasty(RSA)has been described as an effective treatment to achieve better function and decreased pain,although literature is sparse.We present the case of a conversion from a painful shoulder arthrodesis to RSA,after a 51 years interval.CASE SUMMARY A 71-year-old male presented with severe peri scapular pain and limited function 51 years after shoulder arthrodesis.Preoperative workup showed a normal bone stock of the glenoid and an intact axillary nerve,but atrophic posterior part of the deltoid muscle.The shoulder arthrodesis was successfully converted to RSA.Twelve months postoperative the patient was very satisfied.He has no pain at rest,nor with exercise and experienced definite improvements in activities of daily living,despite his limited range of motion.CONCLUSION Conversion from shoulder arthrodesis to a RSA can be performed safely,with a high chance of peri scapular pain relief;even after a longstanding arthrodesis. 展开更多
关键词 Shoulder arthrodesis CONVERSION Reverse shoulder arthroplasty ELECTROMYOGRAPHY Case report
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喙肱韧带损伤的临床特点和诊断方法 认领
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作者 潘昭勋 孙超 +5 位作者 孟健 郭倩倩 董庆华 闵小军 杨晓明 杜德凯 《中国矫形外科杂志》 CAS CSCD 北大核心 2020年第18期1658-1661,共4页
[目的]探讨喙肱韧带损伤的临床特点和临床诊断方法。[方法]收集本院2010年1月~2019年6月关节镜下确诊的98例喙肱韧带损伤患者的临床资料,其中男82例,女16例,年龄17~28岁,平均(25.77±2.09)岁。依据患者病史、体格检查、影像学资料,... [目的]探讨喙肱韧带损伤的临床特点和临床诊断方法。[方法]收集本院2010年1月~2019年6月关节镜下确诊的98例喙肱韧带损伤患者的临床资料,其中男82例,女16例,年龄17~28岁,平均(25.77±2.09)岁。依据患者病史、体格检查、影像学资料,分析并提出喙肱韧带损伤的临床特点和诊断方法。[结果] 98例喙肱韧带损伤患者均有明确急性外伤史或高强度累积性肩关节运动史。与喙肱韧带损伤相关的体征阳性率分别是:外旋位喙肱韧带走行区明确压痛100%;肩关节外旋活动度明显增大70.41%;持续存在的Sulcus征83.67%;后抽屉试验阳性45.92%;内撞击试验阳性72.45%。影像学资料显示:MRI斜矢状位是喙肱韧带最佳显示平面,共显示91例,占92.86%,其次为斜冠状位,共显示77例,占78.57%,对MRI进行3D容积重建可以清晰显示喙肱韧带的状态。[结论]喙肱韧带损伤者有明确的肩部外旋、向下或向后牵拉外伤史或高强度累积性损伤;喙肱韧带走行区压痛和较高阳性率的相关试验体征;MRI是明确喙肱韧带损伤的主要手段。 展开更多
关键词 喙肱韧带损伤 肩关节 临床特点 物理检查 核磁共振影像
不同物理康复疗法治疗颈肩腰腿痛的效果 认领
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作者 李俊升 《临床医学研究与实践》 2020年第20期38-39,共2页
目的分析不同物理康复疗法治疗颈肩腰腿痛的效果。方法将2018年3月至2019年4月我院收治的128例颈肩腰腿痛患者随机分为A、B、C、D组,每组32例。A组采用中医疗法,B组采用中频电疗法,C组采用中医疗法+中频电疗法,D组采用熏蒸法治疗。比较... 目的分析不同物理康复疗法治疗颈肩腰腿痛的效果。方法将2018年3月至2019年4月我院收治的128例颈肩腰腿痛患者随机分为A、B、C、D组,每组32例。A组采用中医疗法,B组采用中频电疗法,C组采用中医疗法+中频电疗法,D组采用熏蒸法治疗。比较四组的临床疗效及相关实验室指标水平。结果C组的治疗总有效率高于A组、B组及D组(P<0.05)。治疗后,CRP、ALB水平:C组>A组>B组>D组(P<0.05);Ca、P水平:C组<A组<B组(P<0.05);B组的P水平小于D组(P<0.05);B组与D组的Ca水平比较,差异不显著(P>0.05)。结论在颈肩腰腿痛治疗中,中医疗法联合中频电疗法具有较高的应用价值。 展开更多
关键词 物理康复疗法 颈肩腰腿痛 中医疗法 中频电疗法
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中药离子导入联合牵引改善颈肩腰腿痛疾病症状和功能康复的影响 认领
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作者 陈英俊 《中医临床研究》 2020年第28期118-120,共3页
目的:探讨中药离子导入联合牵引改善颈肩腰腿痛疾病症状和功能康复的影响。方法:选取2017年1月-2018年12月我院收治的颈肩腰腿痛疾病患者258例为研究对象,编号并根据随机数表分为研究组(129例)和对照组(129例)。对照组常规采用针灸联合... 目的:探讨中药离子导入联合牵引改善颈肩腰腿痛疾病症状和功能康复的影响。方法:选取2017年1月-2018年12月我院收治的颈肩腰腿痛疾病患者258例为研究对象,编号并根据随机数表分为研究组(129例)和对照组(129例)。对照组常规采用针灸联合牵引干预,研究组在对照组干预的基础上采用中药离子导入治疗,两组均连续治疗1个月。评价比较两组疗效、治疗前后疼痛视觉疼痛模拟评分(Visual Analogue Scale,VAS)、肿胀和功能受限评分、腰椎功能日本骨科协会(Japanese Orthopaedic Association,JOA)评分和巴塞尔指数(Barthel)评分。评价比较两组患者满意度以及治疗期间不良反应发生率。结果:研究组治疗有效率高于对照组(P<0.05)。与治疗前比较,两组治疗后VAS评分、肿胀和功能受限评分降低而JOA评分和Barthel评分则升高(P<0.05)。与对照组比较,研究组治疗后VAS评分、肿胀和功能受限评分降低而JOA评分和Barthel评分则升高(P<0.05)。研究组患者满意度高于对照组(P<0.05)。两组不良反应发生率比较差异无统计学意义(P>0.05)。结论:中药离子导入联合牵引改善颈肩腰腿痛疾病可有效缓解患者疼痛症状,改善患者腰椎功能和生活质量并提高患者满意度,是颈肩腰腿痛疾病安全有效的治疗方案。 展开更多
关键词 中药离子导入 牵引 颈肩腰腿痛 症状 功能康复
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旋肩胛动脉穿支或侧胸部穿支或臂内侧动脉穿支皮瓣修复肩部和肘部皮肤软组织缺损12例 认领
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作者 孙涛 张勋 +1 位作者 虎海东 吴银生 《中华烧伤杂志》 CAS CSCD 北大核心 2020年第5期395-398,共4页
2014年1月—2018年6月,宁夏医科大学总医院收治肩部和肘部皮肤软组织缺损患者12例,其中男9例、女3例,年龄15~56岁,皮肤软组织缺损面积6 cm×5 cm~11 cm×8 cm。5例患者创面采用旋肩胛动脉穿支皮瓣(皮瓣面积8 cm×7 cm~12 cm... 2014年1月—2018年6月,宁夏医科大学总医院收治肩部和肘部皮肤软组织缺损患者12例,其中男9例、女3例,年龄15~56岁,皮肤软组织缺损面积6 cm×5 cm~11 cm×8 cm。5例患者创面采用旋肩胛动脉穿支皮瓣(皮瓣面积8 cm×7 cm~12 cm×6 cm)修复,供瓣区直接缝合。3例患者创面采用侧胸部穿支皮瓣(皮瓣面积8 cm×7 cm~13 cm×9 cm)修复,2例患者供瓣区直接缝合,1例患者供瓣区大部分直接缝合,小部分移植同侧大腿中厚皮覆盖。4例患者创面采用臂内侧动脉穿支皮瓣(皮瓣面积6 cm×5 cm~12 cm×10 cm)修复,2例患者供瓣区直接缝合,2例患者取左侧胸壁中厚皮覆盖。11例患者术后皮瓣成活,1例患者皮瓣远端出现血运障碍,经处理,皮瓣远端出现3 cm×2 cm坏死,经二次扩创植皮后,皮片成活。术后随访6~24个月,所有患者皮瓣质地良好,供瓣区瘢痕增生轻,肘关节及肩关节功能恢复良好。旋肩胛动脉穿支皮瓣、侧胸部穿支皮瓣、臂内侧动脉穿支皮瓣具有手术操作相对简单,皮瓣成活率高、手术效果好等优点,是修复肩部和肘部皮肤软组织缺损的较佳选择。 展开更多
关键词 外科皮瓣 伤口愈合 穿支皮瓣
康复护理在老年颈肩腰腿痛康复治疗中的应用效果 认领
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作者 梁俊 《中国老年保健医学》 2020年第2期150-152,共3页
目的探讨康复护理在老年颈肩腰腿痛康复治疗中的应用效果。方法将我院2018年11月至2019年12月收治的130例老年颈肩腰腿痛患者按随机数字表法分为两组,各65例。两组均接受康复治疗,对照组予以常规护理,观察组在此基础上接受康复护理。对... 目的探讨康复护理在老年颈肩腰腿痛康复治疗中的应用效果。方法将我院2018年11月至2019年12月收治的130例老年颈肩腰腿痛患者按随机数字表法分为两组,各65例。两组均接受康复治疗,对照组予以常规护理,观察组在此基础上接受康复护理。对比两组疼痛、日常生活活动能力(BI)、心理状态及疾病认知水平。结果观察组干预后VAS评分低于对照组(3.16±0.57 vs 4.25±0.76),BI高于对照组(76.32±11.54 vs 60.13±10.17),观察组治疗当日、治疗后3天的SAS评分均低于对照组(48.29±5.99 vs 52.72±6.81)、(38.70±4.26 vs 45.26±5.14),差异有统计学意义(P<0.05)。观察组干预后疾病认知水平优于对照组,差异有统计学意义(P<0.05)。结论康复护理可有效减轻老年颈肩腰腿痛行康复治疗患者的疼痛,改善心理状态与疾病认知,利于提高自理能力。 展开更多
关键词 颈肩腰腿痛 康复治疗 护理 疾病认知
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针灸联合中药热敷治疗颈肩腰腿疼痛的临床疗效 认领
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作者 丁雪俊 王菲 《系统医学》 2020年第10期134-136,共3页
目的研究针灸联合中药热敷治疗颈肩腰腿疼痛的临床效果。方法随机数字表法将2017年1月—2019年10月120例颈肩腰腿疼痛患者分为两组,对照组有患者62例,接受中医针灸治疗,观察组有患者58例,接受中医针灸联合中药热敷治疗,比较两组治疗效... 目的研究针灸联合中药热敷治疗颈肩腰腿疼痛的临床效果。方法随机数字表法将2017年1月—2019年10月120例颈肩腰腿疼痛患者分为两组,对照组有患者62例,接受中医针灸治疗,观察组有患者58例,接受中医针灸联合中药热敷治疗,比较两组治疗效果。结果观察组治疗后疼痛部位VAS评分为(2.45±1.05)分,对照组为(3.49±1.27)分(t=4.870,P<0.05);观察组治疗后SAS、SDS评分均低于对照组(P<0.05);观察组治疗后生活质量评分为(80.24±6.79)分,对照组为(72.51±6.20)分(t=6.518,P<0.05)。结论针灸联合中药热敷治疗颈肩腰腿疼痛有助于更明显减轻患者不良情绪及疼痛程度,改善患者生活质量,值得推广。 展开更多
关键词 颈肩腰腿疼痛 针灸 中药 热敷 治疗
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针灸并用结合康复训练治疗中风后肩手综合征临床疗效观察 认领
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作者 潘江 曹洋 +4 位作者 方闯 张彦 唐锦忠 章薇 王诚喜 《世界针灸杂志:英文版》 CSCD 2020年第2期107-112,共6页
Objective:To compare the clinical effects of body acupuncture,moxibustion,and body acupuncture plus moxibustion in the treatment of post-stroke shoulder hand syndrome(SHS).Methods:A total of 90 SHS patients after stro... Objective:To compare the clinical effects of body acupuncture,moxibustion,and body acupuncture plus moxibustion in the treatment of post-stroke shoulder hand syndrome(SHS).Methods:A total of 90 SHS patients after stroke were randomly divided into the body acupuncture group,the moxibustion group,and the body acupuncture plus moxibustion group,with 30 cases in each.On the basis of rehabilitation and routine treatment,the patients in different groups were treated with body acupuncture,moxibustion,and body acupuncture plus moxibustion respectively.Treatment was given once a day,5 times a week,and 4 weeks in all.The visual analogue scale(VAS)scores,edema grading scores,and simplified Fugl-Meyer assessment(FMA)scores were evaluated before and after treatment,and the therapeutic effects of patients were evaluated as well.Results:After treatment,the VAS and edema grading scores of the three groups were all lower and the FMA scores were all higher than those before treatment,with statistically significant differences(all P<0.05).The VAS and edema grading scores of the acupuncture plus moxibustion group were lower and the FMA score was higher than those of the body acupuncture group and the moxibustion group,with statistically significant differences(all P<0.05).The total effective rate of the acupuncture plus moxibustion group was 96.7%,higher than 80.0%of the body acupuncture group and 83.3%of the moxibustion group,with statistically significant differences(both P<0.05).Conclusion:Body acupuncture,moxibustion,and body acupuncture plus moxibustion are all effective for post-stroke SHS,while the effect of acupuncture plus moxibustion is the best in relieving the pain and swelling,and improving effectively the joint movement of post-stroke SHS patients,which should be popularized in clinical practice. 展开更多
关键词 Shoulder hand syndrome(SHS) Body acupuncture MOXIBUSTION Rehabilitation training
Rupture of the long head of the biceps brachii tendon near the musculotendinous junction in a young patient: A case report 认领
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作者 Xuan Liu Andrew Hwee Chye Tan 《世界骨科杂志(英文版)》 2020年第2期123-128,共6页
We report an unusual case of the long head of the biceps brachii tendon rupture near the musculotendinous junction in a young patient.The injury occurred in a young athlete during sports competition.The clinical prese... We report an unusual case of the long head of the biceps brachii tendon rupture near the musculotendinous junction in a young patient.The injury occurred in a young athlete during sports competition.The clinical presentation,surgical treatment,and technique with tenodesis using a unicortical button of the ruptured tendon were presented.The post-surgical recovery was uneventful,and the patient returned to sports in 6 mo.The treatment approach and surgical technique of the long head of biceps brachii rupture was reviewed and discussed.In conclusion,surgical treatment of the long head of the biceps brachii tendon rupture with unicortical button tenodesis resulted in a favorable outcome in a young athlete. 展开更多
关键词 ATHLETE Sport injury SHOULDER BICEPS TENDON TENODESIS
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Day case vs inpatient total shoulder arthroplasty: A retrospective cohort study and cost-effectiveness analysis 认领
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作者 Aditya Borakati Asad Ali +3 位作者 Chetana Nagaraj Srinivas Gadikoppula Michael KurerDivision of Surgery and Interventional Science Royal Free Hospital and 《世界骨科杂志:英文版》 2020年第4期213-221,共9页
BACKGROUND Day case total shoulder arthroplasty(TSA)is a novel approach,not widely practiced in Europe.We conducted a retrospective cohort study of patients comparing elective day case and inpatient TSAs in our United... BACKGROUND Day case total shoulder arthroplasty(TSA)is a novel approach,not widely practiced in Europe.We conducted a retrospective cohort study of patients comparing elective day case and inpatient TSAs in our United Kingdom centre.AIM To evaluate the efficacy and cost-effectiveness of day case TSA compared to standard inpatient total shoulder arthroplasty.METHODS All patients undergoing TSA between January 2017 and July 2018 were included.Outcome measures were:Change in abduction and extension 3 mo postoperatively;30-d postoperative adverse events and re-admissions in day case and inpatient groups.We also conducted an economic evaluation of outpatient arthroplasty.Multivariate linear and logistic regression were used to adjust for demographic and operative covariates.RESULTS Fifty nine patients were included,18 d cases and 41 inpatients.There were no adverse events or re-admissions at 30 d postoperatively in either group.There were no significant differences in adjusted flexion(mean difference 16.4,95%CI:17.6-50.5,P=0.337)or abduction(mean difference:13.2,95%CI:18.4-44.9,P=0.405)postoperatively between groups.Median savings with outpatient arthroplasty were£529(interquartile range:247.33-789,P<0.0001).CONCLUSION Day case TSA is a safe,effective procedure,with significant cost benefit.Wider use may be warranted in the United Kingdom and beyond,with potential for significant cost savings and improved efficiency. 展开更多
关键词 ORTHOPEDICS SHOULDER ARTHROPLASTY AMBULATORY care Day case COHORT studies
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探讨小针刀治疗颈肩腰腿痛患者围术期的护理 认领
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作者 牛雪荣 杨薇 《中国卫生标准管理》 2020年第3期157-159,共3页
目的探讨小针刀治疗颈肩腰腿痛患者围手术期的护理方法。方法研究起止时间2019年1月—6月,选入本院156例患者,分为传统组(78例)及围手术期组(78例),传统组患者给予传统护理方案,围术期组患者则在术前、术中、术后给予其围术期护理方案,... 目的探讨小针刀治疗颈肩腰腿痛患者围手术期的护理方法。方法研究起止时间2019年1月—6月,选入本院156例患者,分为传统组(78例)及围手术期组(78例),传统组患者给予传统护理方案,围术期组患者则在术前、术中、术后给予其围术期护理方案,对照两组疼痛情况,不良事件发生情况。结果围术期组与传统组VAS评分分别为(2.14±0.63)分、(3.54±1.02)分,不良事件发生率为0.0%、7.7%,围术期组护理VAS评分及不良事件发生率更低,差异有统计学意义(P<0.05)。结论小针刀治疗颈肩腰腿痛患者时围术期应用良好护理措施可有效减轻患者治疗过程中的疼痛感,降低不良事件发生。 展开更多
关键词 小针刀 颈肩腰腿痛 围术期 对照 临床研究 护理效果
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关节镜下灌洗联合手术切开清创治疗关节镜下肩袖修补术后感染 认领
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作者 商培洋 吴传龙 +3 位作者 庄澄宇 王蕾 虞佩 叶庭均 《中华骨科杂志》 CAS CSCD 北大核心 2020年第1期39-45,共7页
目的探讨关节镜下灌洗联合手术切开清创治疗关节镜下肩袖修补术后感染的临床疗效。方法回顾性分析2016年1月至2019年6月采用关节镜下灌洗联合手术切开清创治疗4例关节镜下肩袖修补术后感染患者资料,男3例,女1例;年龄55岁(范围,51~61岁)... 目的探讨关节镜下灌洗联合手术切开清创治疗关节镜下肩袖修补术后感染的临床疗效。方法回顾性分析2016年1月至2019年6月采用关节镜下灌洗联合手术切开清创治疗4例关节镜下肩袖修补术后感染患者资料,男3例,女1例;年龄55岁(范围,51~61岁)。4例患者均于术后1个月内出现手术部位不同程度的红肿、疼痛等症状,同时伴有发热、脓肿、窦道形成。入院后完善血液学及放射学检查,使用抗生素治疗,并根据微生物培养结果调整使用抗生素。同时采用关节镜下灌洗联合手术切开清创进行治疗。术后继续使用抗生素抗感染治疗。术后复查血常规、红细胞沉降率、C反应蛋白,X线片等,评估感染症状是否缓解及预后情况。术前及随访时均采用视觉模拟评分(visual analogue scale,VAS)和美国肩肘外科协会(American Shoulder and Elbow Surgeons,ASES)评分评估疼痛及肩关节功能。结果4例患者手术均顺利完成,其中1例进行负压吸引1周后再关闭伤口。微生物培养结果显示,4例患者中,2例结核分枝杆菌(+)、1例铜绿假单胞菌(+)、1例金黄色葡萄球菌(+)。经治疗后患者肩部窦道均顺利愈合,患肩红肿、疼痛等症状消失。4例患者随访时间分别为3、4、32、33个月。末次随访时均未出现感染复发,肩关节活动度及评分均较清创术前好转,其中2例术后出现肩关节感染症状1个月的早期清创患者VAS及ASES评分分别由术前的5分及40分、6分及23分,分别提升至1分及80分、1分及73分;另2例术后出现肩关节感染症状病程超过6个月的患者VAS评分及ASES评分分别由术前的6分及28分、6分及32分,分别改善至1分及62分、2分及65分。4例患者均对治疗结果表示满意。结论肩关节感染病程不超过1个月时,采用关节镜灌洗联合手术切开清创的方法治疗关节镜下肩袖修补术后感染可取得较好临床疗效。 展开更多
关键词 关节镜检查 感染
搅拌摩擦焊搅拌头的研究进展 认领
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作者 计鹏飞 张振 +2 位作者 赵光辉 关震磊 赵晓敏 《宇航材料工艺》 CAS CSCD 北大核心 2020年第3期11-16,共6页
概述了国内外铝合金、镁合金、铜合金、钛合金及钢铁材料等多种合金搅拌摩擦焊用搅拌头的结构设计、材料、磨损失效和寿命等方面的研究进展,对比了各搅拌头的结构设计和材料性能优缺点,分析了搅拌头失效方式和寿命,展望了搅拌头的研究... 概述了国内外铝合金、镁合金、铜合金、钛合金及钢铁材料等多种合金搅拌摩擦焊用搅拌头的结构设计、材料、磨损失效和寿命等方面的研究进展,对比了各搅拌头的结构设计和材料性能优缺点,分析了搅拌头失效方式和寿命,展望了搅拌头的研究发展趋势。 展开更多
关键词 搅拌摩擦焊 搅拌头 轴肩 搅拌针 失效机理
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全钢子午线轮胎胎肩边沟设计对偏磨影响的有限元分析 认领
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作者 卢帅 王昌宁 +1 位作者 张鹏 王兴玉 《轮胎工业》 CAS 2020年第6期335-338,共4页
以295/75R22.5全钢子午线轮胎为例,基于有限元分析方法,研究胎肩不同边沟设计对胎肩接地压力、接地印痕及轮胎偏磨的影响。结果表明:在胎肩添加边沟可以显著降低胎肩最大接地压力;肩部偏下部位的边沟设计显著优于其他边沟设计,能够更有... 以295/75R22.5全钢子午线轮胎为例,基于有限元分析方法,研究胎肩不同边沟设计对胎肩接地压力、接地印痕及轮胎偏磨的影响。结果表明:在胎肩添加边沟可以显著降低胎肩最大接地压力;肩部偏下部位的边沟设计显著优于其他边沟设计,能够更有效地减轻轮胎偏磨。 展开更多
关键词 全钢子午线轮胎 胎肩 边沟设计 接地压力 接地印痕 偏磨 有限元分析
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脊柱局部正骨推拿对颈肩腰腿痛患者VAS评分及睡眠质量的影响 认领
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作者 钱雪峰 《中国中西医结合外科杂志》 CAS 2020年第4期658-661,共4页
目的:分析脊柱局部正骨推拿对颈肩腰腿痛患者视觉模拟评分(VAS)评分及睡眠质量的影响。方法:选取我院2017年5月—2019年1月收治的颈肩腰腿痛患者144例,根据治疗方法不同均分为两组。对照组给予常规药物治疗,观察组在对照组基础上给予脊... 目的:分析脊柱局部正骨推拿对颈肩腰腿痛患者视觉模拟评分(VAS)评分及睡眠质量的影响。方法:选取我院2017年5月—2019年1月收治的颈肩腰腿痛患者144例,根据治疗方法不同均分为两组。对照组给予常规药物治疗,观察组在对照组基础上给予脊柱局部正骨推拿治疗,分析两组患者的疗效、VAS评分、主要关节功能(CASCS)评分、睡眠质量及复发率情况。结果:观察组的疗效优于对照组,差异有统计学意义(P<0.05)。两组治疗前VAS评分、CASCS评分组间比较,差异无统计学意义(P>0.05)。观察组治疗后的CASCS评分为(91.27±6.36)分,高于对照组的(74.15±5.18)分,VAS评分为(1.28±0.28)分,低于对照组的(2.48±0.33),差异有统计学意义(P<0.05)。观察组的睡眠质量优36例,良18例,中16例,差2例;对照组的睡眠质量优16例,良26例,中18例,差12例;观察组的整体睡眠质量优于对照组,差异有统计学意义(P<0.05)。观察组的复发率为6.94%,低于对照组的18.06%,差异有统计学意义(P<0.05)。结论:脊柱局部正骨推拿应用于颈肩腰腿痛可减轻患者疼痛程度,改善主要关节功能,提高睡眠质量,且复发率低。 展开更多
关键词 脊柱局部正骨推拿 颈肩腰腿痛 视觉模拟评分 睡眠质量
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疼痛评估在颈肩腰腿痛患者护理中的价值研究 认领
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作者 周灿 《智慧健康》 2020年第15期186-188,共3页
目的探析疼痛评估在颈肩腰腿痛患者护理中的应用价值。方法选取2017年10月至2018年10月在我院接受治疗的80例颈肩腰腿痛患者作为主要对象,运用数字随机表法将其分为两组,每组40例。对照组实施常规护理,观察组患者在疼痛评估后实施护理干... 目的探析疼痛评估在颈肩腰腿痛患者护理中的应用价值。方法选取2017年10月至2018年10月在我院接受治疗的80例颈肩腰腿痛患者作为主要对象,运用数字随机表法将其分为两组,每组40例。对照组实施常规护理,观察组患者在疼痛评估后实施护理干预,比较两组患者的疼痛程度、治疗依从性、健康知识掌握程度、满意度和负面情绪严重程度。结果两组患者护理后的疼痛评分明显小于护理前,且观察组明显小于对照组,存在显著差异;观察组患者的治疗依从性评分、健康知识掌握程度评分及患者满意度评分显著高于对照组,组间比较有显著差异;观察组患者护理后的焦虑和抑郁情绪均显著轻于对照组,有显著差异(P<0.05)。结论在颈肩腰腿痛患者护理中,实施疼痛评估护理干预可有效缓解患者的疼痛程度和负面情绪严重程度,同时可提高患者的依从性和满意度,值得进一步推广应用。 展开更多
关键词 疼痛评估 颈肩腰腿痛 护理效果
Clinical study of warm acupuncture combined with massage in treatment of periathritis of shoulder 认领
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作者 He-Xing Yu Bao-Long Li Jie Zhang 《海南医科大学学报:英文版》 2020年第2期30-35,共6页
Objective: To analyze the clinical efficacy of warm acupuncture and moxibustion combined with manipulation in the treatment of periarthritis of shoulder. Methods: In this study, 120 patients with periarthritis of shou... Objective: To analyze the clinical efficacy of warm acupuncture and moxibustion combined with manipulation in the treatment of periarthritis of shoulder. Methods: In this study, 120 patients with periarthritis of shoulder who were admitted to the department of orthopedics of the second affiliated hospital of Heilongjiang university of traditional Chinese medicine from June 2018 to June 2019 were selected, and the patients were divided into warm acupuncture group, massage group, combined treatment group and control group with a random number table, with 30 patients in each group. Warm acupuncture and moxibustion group received 4 weeks of warm acupuncture and moxibustion treatment, massage group received 4 weeks of massage treatment, patients in the combined treatment group received 4 weeks of warm acupuncture and moxibustion treatment, patients in the control group received 4 weeks of ultrashort wave combined plaster treatment. The use of ibuprofen, VAS score, Melle score, TCM syndrome score and serum inflammatory factors before and after treatment were analyzed and compared in each group of patients to evaluate the clinical efficacy. Results:shoulder joint pain and activity limitation were significantly improved in each group, VAS score, Melle score, TCM syndrome score and serum inflammatory factor levels were significantly decreased compared with before treatment (P < 0.05), and the improvement in the combined treatment group was significantly better than that in other groups (P < 0.05). Conclusion: Warm acupuncture combined with manipulation can significantly improve the clinical symptoms of periarthritis of shoulder, improve the mobility of shoulder joint, and inhibit the internal inflammatory response, which is significantly better than using warm acupuncture or manipulation alone and conventional physical therapy. 展开更多
关键词 Warm Acupuncture MASSAGE Periarthritis of Shoulder Inflammatory Factors Ultrashort Wave Therapy
中医针灸综合治疗颈肩腰腿痛的临床疗效观察 认领
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作者 孙传海 《智慧健康》 2020年第3期123-124,共2页
目的探究中医针灸综合治疗颈肩腰腿痛的临床效果。方法将我院收治的88例颈肩腰腿痛患者随机分为观察组(中医针灸综合治疗)和对照组(针灸加运动治疗),均为44例,两组患者基线资料相对比差异不显著,对比两组患者治疗效果。结果治疗后,观察... 目的探究中医针灸综合治疗颈肩腰腿痛的临床效果。方法将我院收治的88例颈肩腰腿痛患者随机分为观察组(中医针灸综合治疗)和对照组(针灸加运动治疗),均为44例,两组患者基线资料相对比差异不显著,对比两组患者治疗效果。结果治疗后,观察组患者治疗总有效率、疼痛缓解优良率、CASCS评分、VAS评分均同对照组患者之间具有显著差异性,P<0.05。结论在治疗颈肩腰腿痛时采取中医针灸综合治疗方法,具有良好临床治疗效果。 展开更多
关键词 中医针灸 综合治疗 颈肩腰腿痛
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