脑卒中后偏瘫侧肩痛的病因及治疗研究进展  

Etiological induction and treatment progress of hemiplegia and shoulder pain after stroke

作　　者：骆斌 眭明红 向云 LUO Bin;SUI Minghong;XIANG Yun(Union Shenzhen Hospital,Huazhong University of Science and Technology,Shenzhen 510208,China)

机构地区：[1]华中科技大学协和深圳医院,广东深圳510208

出　　处：《中国实用神经疾病杂志》2020年第15期1349-1353,共5页Chinese Journal of Practical Nervous Diseases

基　　金：广东省中医药管理局项目(编号:20201314)。

摘　　要：偏瘫肩痛是脑卒中常见并发症之一,其病因复杂,治疗繁多,临床上有时难以选择准确治法,从而影响偏瘫肩痛的治疗效果。为了清晰地梳理偏瘫肩痛病因及治疗方法,通过检索PubMed、Springer、中国知网、万方等数据库,发现偏瘫肩痛病因主要有早期肌力降低和后期肌张力增高、肩关节半脱位、肩部软组织炎症及损伤、不适当运动损伤、未进行良肢位摆放、神经源性疼痛及心理因素等,治疗方法包括局部药物注射、物理治疗、运动治疗、肌内效胶贴、矫形器、针灸等。通过总结,为临床治疗偏瘫肩痛提供部分思路,加快患者康复进程。Hemiplegic shoulder pain is one of the common complications of stroke.Its etiology is complex and the treatment is numerous.It is sometimes difficult to choose an accurate treatment in clinical practice,which affects the treatment effect of hemiplegia shoulder pain.Therefore,in order to clearly sort out the etiology and treatment of hemiplegia shoulder pain,by searching PubMed,Springer,China HowNet,Wanfang and other databases,it was found that the etiology of hemiplegia shoulder pain mainly includes early muscle strength decrease,late muscle tension increase,and shoulder subluxation,inflammation and injury of soft tissue of the shoulder,inappropriate sports injury,placement of unhealthy limbs,neurogenic pain and psychological factors,etc.Treatment methods include local drug injection,physical therapy,exercise therapy,intramuscular tape,orthotics,acupuncture,etc.Through the review and summary,it provides some ideas for clinical treatment of hemiplegia and shoulder pain and accelerates the rehabilitation process of patients.

关 键 词：脑卒中 偏瘫肩痛 病因 肌张力 肩关节半脱位 神经源性疼痛 运动损伤 

分 类 号：R743.3[医药卫生—神经病学与精神病学]