Johnson G, Hulse W, McGowan A
Accident and Emergency Department, Pinderfields General Hospital, Wakefield, West Yorks.
Arch Emerg Med. 1992 Mar;9(1):40-3. doi: 10.1136/emj.9.1.40.
Following the introduction of the Milch technique as the preferred method of reduction of anterior shoulder dislocations in an A&E department, a retrospective study of the technique was carried out. A total of 187 patients with anterior shoulder dislocations were included. The Milch technique was attempted in 142 cases with a success rate of 86%. There was no statistical difference in the success rates of junior and senior staff. In 73% of the Milch cases either no analgesia or sedation or Entonox alone was used. This study shows that the Milch technique can successfully be used by inexperienced staff to reduce dislocated shoulders with a reduction in the requirements for sedation and anaesthetics.
在将米尔奇技术引入急诊科作为前肩关节脱位复位的首选方法之后，对该技术进行了一项回顾性研究。总共纳入了187例前肩关节脱位患者。对142例患者尝试了米尔奇技术，成功率为86%。初级和高级工作人员的成功率没有统计学差异。在73%的米尔奇技术应用病例中，要么未使用镇痛或镇静措施，要么仅使用了笑气。这项研究表明，经验不足的工作人员可以成功地使用米尔奇技术来复位脱位的肩关节，同时减少了对镇静和麻醉的需求。
