摘要
偏瘫肩痛在脑卒中患者中发生率较高,偏瘫肩痛严重影响患者上肢功能的康复进程。肩周软组织病变是偏瘫肩痛的重要原因之一,肩峰-三角肌下滑囊病变在偏瘫肩痛患者肩周软组织病变中发生率高。偏瘫患者此处发生积液、炎症、增厚、粘连等病变时,临床表现为肩峰下游走样疼痛,通过肌骨超声能对此病变进行早期监测。近年来,肌骨超声为偏瘫肩痛患者注入非甾体类、甾体类、透明质酸、臭氧等药物治疗以减轻偏瘫患者肩痛,提供精准介导。
The incidence of subacromial-subdeltoid bursa lesion in the patients after stroke is high, which seriously affects the rehabilitation of the upper limbs of the patients. Shoulder soft tissue lesion is one of the important causes of shoulder pain in hemiplegic patients, and the incidence of acromion deltoid bursa disease is higher in patients with hemiplegia and shoulder pain. When there are effusion, inflammation, thickening, or adhesion in patients after stroke, the clinical manifestations are shifting pain at lower acromion, which can be early monitored through musculoskeletal ultrasound. In recent years, musculoskeletal ultrasound has been used to provide accurate guidance to treat patients with hemiplegic shoulder pain for injecting non-steroid, steroid, hyaluronic acid, ozone and other drugs to reduce the pain of patients with hemiplegia.
出处
《医学综述》
2017年第17期3484-3488,共5页
Medical Recapitulate
关键词
肌骨超声
偏瘫肩痛
肩峰-三角肌下滑囊
Musculoskeletal ultrasound
Hemiplegic shoulder pain
Subacromial-subdeltoid bursa
