【摘要】　目的　 觀察密集型銀質針松解術結合臂叢神經阻滯麻醉治療老年肩周炎的療效。　方法　 2007年4月-2008年6月，將120例老年肩周炎患者（ gt;60歲）隨機分為治療組、對照組各60例；治療組采用密集型銀質針松解術結合臂叢神經阻滯麻醉治療，對照組則用單純密集型銀質針松解術治療。　結果　 治療組痊愈43例、顯效15例、好轉2例；對照組痊愈41例、顯效16例、好轉3例。總有效率均為100%。兩組療效差異無統計學意義（P gt;0.05），治療組心率血壓變化值及疼痛評分均低于對照組，差異有統計學意義（P lt;0.05）。　結論　 密集型銀質針松解術結合臂叢神經阻滯為治療老年肩周炎的安全、有效方法。
【Abstract】　Objective　 To investigate the effect of dense silver needle acupuncture therapy combined with brachial plexus nerve block for old patients with shoulder periarthritis. 　Methods　 A total of 120 patients with shoulder periarthritis diagnosed in our hospital between April 2007 and June 2008 were randomly divided into treatment group and control group with 60 in each group. Patients in the treatment group were treated with dense silver needle acupuncture therapy combined with brachial plexus nerve block, while patients in the control group were only treated with dense silver needle acupuncture therapy.　Results　 In the treatment group, 43 patients were cured, the treatment produced effect in 15 patients, and improvement could be found in two patients. For the control group, those three numbers were respectively 41, 16 and 3. The effectice rate was 100% in both groups. The difference of effect between the two groups was not statistically significant (P gt;0.05), while the variation of blood pressure and heart rate and the visual analogue scales in the treatment group were significant lower than these in the control gvroup (P lt;0.05)　Conclusion 　The dense silver needle acupuncture therapy combined with brachial plexus nerve block is safe and effective in treating old patients with shoulder periarthritis.

引用本文： 李信明,李定明,蔣鵬飛. 密集型銀質針松解術結合臂叢神經阻滯麻醉治療老年肩周炎的臨床療效. 華西醫學, 2011, 26(2): 239-241. doi: 復制