Abstract

Objective To explore the effects of shoulder joint lysis under bronchial plexus block combined with postoperative subcutaneous continuous infusion analgesia with sufentanil and ropivacaine in the treatment of patients with shoulder periarthritis. Methods Two hundred and twenty-eight patients with primary shoulder periarthritis were randomly divided into combined group (108 cases) and block group (120 cases).The intraoperative brachial plexus nerve block combined with postoperative subcutaneous constant-velocity infusion analgesia were used in the combined group, and the brachial plexus block was used only in the blockgroup. VAS and UCLA shoulder joint function scores were used to assess shoulder joint pain and function. Results VAS was significantly lower in the combined group (2.0±1.3) than that in the block group (2.6±1.3)at one day after manipulation lysis (P<0.05), which was (1.7±1.2), (2.4±1.0) at one month after manipulation lysis in the combined group and block group respectively(P<0.05). UCLA shoulder joint function scores were significantly higher in the combined group (50.1±6.2) than those in the block group (34.5±5.7) at one month aftermanipulation lysis (P<0.05). Analgesic dose and times were significantly higher in the block group than those in the combined group within one month after manipulation lysis (P<0.05). Conclusion Postoperative subcutaneous constant-velocity infusion analgesia combined with shoulder joint lysis under brachial plexus nerve block is an effective method for treatment of patients with primary shoulder periarthritis, which can effectively relieve the pain and promote the functional exercises after manipulation lysis. Key words: Hypodermoclysis; Analgesia; Periarthritis of shoulder; Manipulation lysis; Brachi-al plexus; Nerve block

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