肌骨超声引导下肩峰下滑囊药物注射治疗脑卒中后偏瘫肩痛的效果研究

Effect of musculoskeletal ultrasonography-guided subacromial bursa drug injection in the treatment of hemiplegic shoulder pain after stroke

目的 研究肌骨超声引导下肩峰下滑囊药物注射治疗脑卒中后偏瘫肩痛的效果。方法 60例脑卒中后偏瘫肩痛患者,随机分为对照组及研究组,每组30例。对照组开展常规康复训练,研究组在对照组基础上增加肌骨超声引导下肩峰下滑囊药物注射治疗。比较两组疼痛程度、上肢功能评分以及肩关节活动度。结果 干预后,研究组视觉模拟评分法(VAS)评分为(2.00±0.91)分,低于对照组的(3.96±0.95)分,差异具有统计学意义(t=8.161,P=0.000<0.05)。干预后,研究组上肢功能评分为(29.62±4.65)分,高于对照组的(19.45±4.63)分,差异具有统计学意义(t=8.489,P=0.000<0.05)。治疗后,研究组肩关节前屈和外展活动度分别为(110.42±15.47)、(107.52±18.23)°,大于对照组的(84.25±16.26)、(94.56±16.82)°,差异具有统计学意义(P<0.05)。结论 脑卒中后偏瘫肩痛患者康复训练中加入肌骨超声引导下肩峰下滑囊药物注射治疗可获得理想效果,具有改善患者生活质量的价值。

Objective To study the effect of musculoskeletal ultrasonography-guided subacromial bursa drug injection in the treatment of hemiplegic shoulder pain after stroke.Methods A total of 60 patients with hemiplegic shoulder pain after stroke were randomly divided in to control group and research group,with 30 cases in each group.The control group carried out conventional rehabilitation training,and the research group was also treated with musculoskeletal ultrasonography-guided subacromial bursa drug injection on the basis of the control group.The pain degree,upper limb function score,shoulder range of motion were compared between the two groups.Results After the intervention,the visual analogue scale(VAS)score of the research group was(2.00±0.91)points,which was lower than(3.96±0.95)points of the control group,and the difference was statistically significant(t=8.161,P=0.000<0.05).After the intervention,the upper limb function score of the research group was(29.62±4.65)points,which was higher than(19.45±4.63)points of the control group,and the difference was statistically significant(t=8.489,P=0.000<0.05).After treatment,the shoulder flexion and abduction range of motion were(110.42±15.47)and(107.52±18.23)°in the research group,which were greater than(84.25±16.26)and(94.56±16.82)°in the control group,and the difference was statistically significant(P<0.05).Conclusion In the rehabilitation training of patients with hemiplegic shoulder pain after stroke,musculoskeletal ultrasonography-guided subacromial bursa drug injection can achieve ideal results and improve the quality of life of patients.