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《国际骨科学杂志》[ISSN:1673-7083/CN:31-1952/R]

期数:

2020年05期

页码:

308-311

栏目:

临床研究

出版日期:

2020-10-20

文章信息/Info

Title:

Comparison between FARES and Hippocrates method for reduction of acute anterior dislocations of the shoulder joints

作者:

蔡丹宇; 夏琰; 章云童; 许硕贵; 王攀峰

215000, 苏州市中西医结合医院(蔡丹宇); 200433, 上海长海医院(夏琰、章云童、许硕贵、王攀峰)

Author(s):

CAI Danyu¹;  XIA Yan²;  ZHANG Yuntong²;  XU Shuogui²;  WANG Panfeng².

Department of Orthopedics, Soochow Hospital of Integrated Traditional Chinese and Western Medicine¹, 215000 Suzhou, China; Department of Emergency, Changhai Hospital², 200433 Shanghai, China

关键词:

肩脱位;  手法复位;  FARES;  Hippocrates法

Keywords:

Shoulder dislocation;  Reduction;  FARES;  Hippocrates method

分类号:

-

DOI:

10.3969/j.issn.1673-7083.2020.05.012

文献标识码:

A

摘要:

目的 比较快速、可靠、安全(FARES)法与Hippocrates法手法复位治疗肩关节前脱位的临床疗效。方法 回顾分析2014年3月至2019年3月于上海长海医院骨科急诊就诊的106例肩关节前脱位患者的临床资料。依据复位方法将患者分为两组,A组54例采用FARES法复位,B组52例采用传统Hippocrates法复位。比较两组患者的复位成功率,复位操作时间,尝试复位次数,复位后并发症发生情况,疼痛的视觉模拟评分(VAS)。结果 A组患者复位成功51例,成功率94.4%,B组复位成功42例,成功率80.8%,两组间存在差异(χ²=2.496,P=0.039)。A组复位操作时间为(2.16±0.96)min,B组为(5.68±1.33)min,两组间存在差异(t=6.126,P=0.001)。复位过程中A组的疼痛VAS评分为(1.60±0.96)分,B组为(5.44±0.44)分,A组明显低于B组(t=6.461,P=0.000)。复位前与复位后两组的疼痛VAS评分无差异(P>0.05)。结论 FARES法处理肩关节前脱位具有复位成功率高,时间短,安全性高,患者疼痛小的优势,是治疗肩关节前脱位较理想的方法,值得推广应用。

Abstract:

Objective To compare the clinical efficacy of Fast, Reliable, and Safe(FARES)method and Hippocrates method for reduction of anterior shoulder dislocation.Methods A retrospective review of 106 patients with anterior shoulder dislocations who visited our de

参考文献/References

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备注/Memo

备注/Memo:

通信作者: 王攀峰 E-mail: 13585635244@139.com

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更新日期/Last Update: 2020-10-20