关节腔注射臭氧结合关节松动术治疗脑卒中后肩痛临床观察

Clinical Observation on Post-stroke Shoulder Pain Treated by Intra-articular Injection of Ozone Combined with Joint Mobilization

目的:观察关节腔注射臭氧结合关节松动术治疗脑卒中后肩痛的效果。方法:将70例患者分为治疗组和对照组各35例,对照组采用神经肌肉本体感觉促进(PNF),治疗组在此基础上增加关节腔注射臭氧和关节松动术。用VAS疼痛评分、肩关节活动度和Fugl-Meyer上肢功能评分对患者在治疗前和治疗后30天进行评定。结果:治疗组疼痛评分明显低于对照组(P<0.05),肩关节活动度明显高于对照组(P<0.05),上肢功能评分明显高于对照组(P<0.05)。结论:关节腔注射臭氧和关节松动术治疗脑卒中后肩痛可有效缓解疼痛,提高上肢运动功能。

Objective ： To observe the effect of joint injection of ozone combined with joint mobilization on the shoulder pain alter stroke. Method： 70 patieiats were divided into treatment group and control group randomly, 35 cases in each group. Both groups were treated with nerve muscle proprioception promote （ PNF ） and the treatment group were treated with joint injection of ozone and joint mobilization. The scores of VAS pain score, shoulder joint activity and fugl-meyer upper limb function were adopted to evaluate before and 30 d after treatment. Result： The pain score of the treatment group was significantly lower than that of the control group （ P〈 0.05 ） . The shoulder joint activity of the treatment group was obviously higher than that of the control group （ P〈0.05 ） . The score of upper limb function of the treatment group was obviously higher than that of the control group （ P〈0.05 ） .Conclusion： It is effective to relieve pain and improve the motor function of upper extremity in patients with post-stroke shoulder pain that joint injection of ozone combined with joint mobilization.