充气式肩吊带对偏瘫后肩关节半脱位的疗效  

Effect of Inflatable Shoulder Harness on Hemiplegia Subluxation of Shoulder Joint

作　　者：毕研贞[1] 郑志雄[1] 李康增[1] 王桂芬[1] 

机构地区：[1]福建医科大学附属闽东医院神经内科,福建福安市355000

出　　处：《中国康复理论与实践》2011年第5期452-453,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察充气式肩吊带对偏瘫后肩关节半脱位的治疗作用。方法将68例脑卒中偏瘫伴肩关节半脱位的患者分为治疗组和对照组各34例。两组患者均接受常规康复技术治疗肩关节半脱位,治疗组患者在此基础上佩戴充气式肩吊带。治疗前后根据X线片测量双侧肩峰与肱骨头间距(AHI),进行Fugl-Meyer运动功能评定,视觉模拟评分(VAS)评定肩痛。结果治疗8周后,与对照组相比,治疗组的复位率及总有效率无显著性差异(P>0.05);治疗组肩痛发生率、VAS评分、患侧上肢Fugl-Meyer运动功能评分优于对照组(P<0.05)。结论在常规康复治疗的基础上,加用充气式肩吊带治疗偏瘫后肩关节半脱位,可减少肩痛的发生,减轻肩痛程度,有利于提高偏瘫上肢运动功能。Objective To observe the therapeutical effect of inflatable shoulder harness on hemiplegia subluxation of shoulder joint.Methods 68 stroke patients with hemiplegia subluxation of shoulder joint were divided into two groups：the experiment group（n=34） and the control group（n=34）.All the patients accepted routine rehabilitation for subluxation of shoulder joint,meanwhile,the experiment group wore inflatable shoulder harness.The interval between acromion and caput humeralis were measured according to the X-ray before and after treatment,as well as the Fugl-Meyer Assessment and Visual Analogue Scale（VAS） of shoulder pain.Results After 8 week of treatment,the rate of diaplasis or improvement was not different significantly between these groups（P0.05）.Compared to the control group,the incidence and VAS score of shoulder pain,and the score of Fugl-Meyer Assessment improved significantly after the treatment（P0.05）.Conclusion On the basis of routine rehabilitation,inflatable shoulder harness may reduce the incidence and grade of shoulder pain,improve motor function of hemiplegic upper limb further in hemiplegia subluxation of shoulder.

关 键 词：偏瘫 肩关节半脱位 肩吊带 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]