Effect of ultrasound-guided suprascapular nerve combined with axillary nerve block in the treatment of patients with adhesive shoulder bursitis

doi:10.3760/cma.j.cn441417-20250428-20022

Abstract

Abstract:

Objective　To investigate the effect of ultrasound-guided suprascapular nerve (SSN) combined with axillary nerve (AN) block in the treatment of patients with adhesive capsulitis.Methods　In the prospective study, 85 patients with adhesive shoulder capsulitis treated in Xuzhou First People's Hospital from January 2022 to February 2025 were selected as the research objects, and they were divided into control group ( 43 cases ) and combined group ( 42 cases ) according to the random number table method. There were 10 males and 33 females in the control group; they were (53.33±8.63) years old; their pain course was (2.48±1.87) month. There were 11 males and 31 females in the combination group; they were (54.50±9.45) years old; their pain course was (2.63±1.55) month. The control group received ultrasound-guided SSN block, and the combined group increased AN block on the basis of the control group, 1 time/week, 2 times as a course of treatment, a total of 1 courses of treatment. The pain degree [Visual Analogue Scale (VAS)], shoulder joint activity (flexion, abduction, extension, internal rotation, external rotation), and adverse reactions were compared between the two groups before and after treatment. Statistical analysis was performed using χ² and t test. Result　At 2 weeks after treatment and 4 weeks after treatment, the VAS scores of the combined group at rest and during activity were lower than those of the control group(1.88±0.60 vs. 2.65±0.83, 0.95±0.31 vs. 1.77±0.54, 4.54±1.14 vs. 5.68±1.22, and 1.86±0.86 vs. 3.72±1.14), and the flexion, abduction, extension, internal rotation, and external rotation were higher[(157.47±18.67) ° vs. (137.49±21.25) °, (165.28±12.15) ° vs. (153.24±17.97) °, (151.34±13.22) ° vs. (135.15±14.66) °, (168.82±11.04) ° vs. (153.63±14.17) °, (50.88±7.67) ° vs. (43.42±8.83) °, (55.75±5.24) ° vs. (52.14±6.72) °, (47.81±6.03) ° vs. (41.34±6.22) °, (56.26±8.27) ° vs. (51.49±7.09) °, (60.55±7.28) ° vs. (49.31±8.43) °, and (63.25±15.43) ° vs. (55.46±13.98) °], with statistical differences (all P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (χ²=0.370, P=0.616). Conclusion　Ultrasound-guided SSN combined with AN block for the treatment of patients with adhesive capsulitis can significantly improve the pain level at rest and in motion, improve the mobility of shoulder joints, and is safe.

Key words:

Suprascapular nerve, Axillary nerve block, Adhesive capsulitis of shoulder, Ultrasound guidance, Shoulder joint mobility

摘要：

目的　探讨超声引导下肩胛上神经（SSN）联合腋神经（AN）阻滞治疗粘连性肩关节囊炎患者的效果。方法　前瞻性研究，选取2022年1月至2025年2月在徐州市第一人民医院治疗的粘连性肩关节囊炎患者85例作为研究对象，按随机数字表法分为对照组（43例）和联合组（42例）。对照组男10例、女33例，年龄（53.33±8.63）岁，疼痛病程（2.48±1.87）个月，接受超声引导下SSN阻滞；联合组男11例、女31例，年龄（54.50±9.45）岁，疼痛病程（2.63±1.55）个月，在对照组基础上增加AN阻滞。1次/周，2次为1个疗程，共治疗1个疗程。对比两组患者治疗前后疼痛程度［视觉模拟评分法（VAS）］、肩关节活动度（前屈、外展、后伸、内旋、外旋）及不良反应发生情况。统计学方法采用t检验、χ²检验。结果　治疗完成后2周、治疗完成后4周，联合组静息时［（1.88±0.60）分、（0.95±0.31）分］、活动时VAS评分［（4.54±1.14）分、（1.86±0.86）分］均低于对照组［（2.65±0.83）分、（1.77±0.54）分、（5.68±1.22）分、（3.72±1.14）分］，前屈［（157.47±18.67）°、（165.28±12.15）°］、外展［（151.34±13.22）°、（168.82±11.04）°］、后伸［（50.88±7.67）°、（55.75±5.24）°］、内旋［（47.81±6.03）°、（56.26±8.27）°］、外旋活动度［（60.55±7.28）°、（63.25±15.43）°］均高于对照组［（137.49±21.25）°、（153.24±17.97）°、（135.15±14.66）°、（153.63±14.17）°、（43.42±8.83）°、（52.14±6.72）°、（41.34±6.22）°、（51.49±7.09）°、（49.31±8.43）°、（55.46±13.98）°］，差异均有统计学意义（均P<0.05）。两组患者不良反应发生率比较，差异无统计学意义（χ²=0.370，P=0.616）。结论　超声引导下SSN联合AN阻滞治疗粘连性肩关节囊炎患者，可显著改善其静息和运动状态下的疼痛程度，提高肩关节活动度，且安全性较高。

关键词:

肩胛上神经, 腋神经阻滞, 粘连性肩关节囊炎, 超声引导, 肩关节活动度

Zhu Min, Liu Pengfei, Hu Xiaoli, Xu Feng, Liu Pei.

Effect of ultrasound-guided suprascapular nerve combined with axillary nerve block in the treatment of patients with adhesive shoulder bursitis [J]. International Medicine and Health Guidance News, 2025, 31(20): 3451-3455.

朱敏刘朋飞胡晓莉徐峰刘佩.

超声引导下肩胛上神经联合腋神经阻滞治疗粘连性肩关节囊炎患者的效果 [J]. 国际医药卫生导报, 2025, 31(20): 3451-3455.

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