Clinical study of the application of interscalene brachial plexus catheter plus functional exercise after tendon adhesion lysis
- VernacularTitle:应用肌间沟臂丛置管镇痛辅助肌腱粘连松解术后功能锻炼的临床研究
- Author:
Zhegang ZHOU
1
;
Longbiao YU
;
Yingfeng XIAO
;
Shengxiang WAN
Author Information
1. 北京大学深圳医院手显微外科
- Keywords:
Tendon adhesions;
Interscalene;
Brachial plexus catheter;
Tendon adhesion lysis;
Functional exercise
- From:
China Modern Doctor
2015;53(35):32-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application effect of interscalene brachial catheter plus functional exercise af-ter tendon adhesion lysis. Methods A total of 40 patients with 68 fingers who hospitalized due to postoperative tendon adhesions of flexor tendon injury repair and the need of tendon adhesion lysis from January 2012 to December 2013 were chosen, and were randomly divided into group A and group B. Group A received scalene brachial plexus catheter analgesia, and group B received the conventional therapy. Knuckle total active activity and pain degree of the two groups were compared. Results There were significant differences in comparing knuckles TAM of group A before ad-ministration, group A after administration and group B after operation for 1 d to 1 week, and TAM good rate of group A after administration increased significantly. There were significant differences in comparing NRS scores of group A be-fore administration, group A after administration and group B, and pain of patients in group A after administration sig-nificantly improved(P<0.05). Conclusion Application of brachial plexus catheter analgesia can significantly reduce the pain of functional exercise, promote recovery of hand function in patients and reduce the incidence of tendon re-adhe-sions.
