前瞻性观察康复训练治疗脑卒中偏瘫肩关节半脱位的临床疗效及副作用  

Prospective study ofrehabilitation training in the treatment ofshoulder subluxationfor stroke the clinical effect and side effect

作　　者：潘卫萍[1] 黄捷[1] 梁锋[1] 黄恒炯[1] 雷艳[1] 

机构地区：[1]右江民族医学院附属医院康复医学科,广西百色533000

出　　处：《世界最新医学信息文摘》2013年第11期71-71,70,共2页World Latest Medicine Information Electronic Version

摘　　要：目的前瞻性观察用康复训练的方法治疗脑卒中偏瘫后的肩关节半脱位的临床效果及副作用。方法87例患脑卒中偏瘫后出现的肩关节半脱位的患者进行了康复治疗，1个月为一个疗程，观察患者的临床疗效。结果2个疗程结束后治愈25例，显效24例，有效18例，总有效率为77％；有3例治疗后肩痛加重，发生率为3％。结论对脑卒中偏瘫患者出现的肩关节半脱位，用康复治疗能明显减轻肩部疼痛、改善肩关节活动功能，促进肢体功能的恢复，但应注意过度训练会导致肩痛加重，治疗中应加以预防。Objective the clinical effect and side effect of prospective observation of shoulder subluxation with rehabilitation training in the treatment of post-stroke hemiplegia. Methods 87 patients with shoulder subluxation after stroke in the patients were rehabilitation treatment, 1 months for a course of treatment, clinical observation of patients. Results after the 2 course of treatment to cure 25 cases, markedly effective in 24 cases, effective in 18 cases, the total effective rate was 77%. There were 3 cases of shoulder pain aggravated after the treatment, the incidence rate was 3%. Conclusion the shoulder subluxation for stroke patients with hemiplegia, with rehabilitation therapy can significantly reduce the shoulder pain, shoulder joint function improvement activities, promote the recovery of limb function, but it should be noted that excessive training will lead to shoulder pain aggravate, should be to prevent the treatment.

关 键 词：脑卒中 肩关节半脱位 康复训练 疗效及副作用 

分 类 号：R743.3[医药卫生—神经病学与精神病学]