液电式体外冲击波治疗偏瘫肩痛  

Treatment of hemiplegic shoulder pain with liquid-electric extracorporeal shock wave combined with therapeutic exercises

作　　者：魏智钧[1] 欧阳颀[1] 李华[1] 侯艳丽[1] 张秋芬[1] 

机构地区：[1]北京军区总医院理疗科,北京100700

出　　处：《临床荟萃》2014年第7期782-785,共4页Clinical Focus

摘　　要：目的观察液电式体外冲击波治疗偏瘫肩痛(HSP)的疗效。方法脑卒中患者70例随机分为对照组(n=35)和观察组(n=35),两组患者进行运动疗法治疗,观察组同时对HSP肩关节进行体外液电式冲击波治疗。结果治疗4周后,观察组的治愈率为60.0%(21/35),总有效率为91.4%(33/35),对照组的治愈率为34.3%(12/35),总有效率为71.4%(25/35),两组比较差异有统计学意义(P<0.05)。两组治疗后与治疗前比较疼痛视觉模拟(VAS)评分及上肢运动功能(Fugl-Meyer)评分均有显著改善,分别为(5.91±1.70)分vs(3.49±1.99)分、(5.80±1.47)分vs(4.69±1.67)分vs(24.86±9.08)分vs(46.47±9.91)分、(26.91±9.70)分vs(31.09±10.07)分,且观察组明显优于对照组(均P<0.01)。结论液电式体外冲击波是一种可供选择的治疗HSP的较好方法。Objective To observe the clinical efficacy of liquid-electric extracorporeal shock wave（ESW）combined with therapeutic exercise in treating hemiplegic shoulder pain.Methods Seventy patients with stroke were randomly divided into control group and observation group,the control group received therapeutic exercise,the observation group was used by liquid-electric ESW combined with therapeutic exercise,then,the clinical efficiency of two groups were evaluated before and after treatment by effective rate,visual analogue scale（VAS）,Fugl-Meyer Assessment（FMA）.Results After treatment of four weeks,the cure rate and the effective rate in the observation group were 60.0%（21/35）,91.4%（33/35）,while those in the control group were 34.3%（12/35）,71.4%（25/35）（both P 0.05）;Before and after treatment,the VAS and FMA of observation group and control group were respectively（5.91±1.70）marks vs（5.80±1.47）marks,（3.49±1.99）marks vs（4.69±1.67）marks;（24.86±9.08）marks vs（26.91±9.70）marks,（46.47±9.91）marks vs（31.09±10.07）marks.The two groups had significantly improved after treatment in the VAS and Fugl-Meyer score（all P〈 0.01）,and the observation group was better than the control group（all P〈0.01）.Conclusion Liquid-electric ESW therapy is a better therapy for hemiplegic shoulder pain,the method is worth using in clinic.

关 键 词：偏瘫 高能量冲击波 运动疗法 

分 类 号：R682.22[医药卫生—骨科学]