体外冲击波联合肩胛上神经阻滞治疗偏瘫后肩痛的疗效观察  

Efficacy of Extracorporeal Shock Wave Combined with Suprascapular Nerve Block in the Treatment of Shoulder Pain After Hemiplegia

作　　者：樊琼 刘华 徐冬梅 傅继凡 钟波 Fan Qiong;Liu Hua;Xu Dongmei(Department of Rehabilitation Medicine,Xinyu People’s Hospital,Xinyu,Jiangxi,338000,China)

机构地区：[1]江西省新余市人民医院康复医学科,江西新余338000 [2]江西省新余市人民医院神经外科,江西新余338000

出　　处：《黑龙江医学》2023年第22期2765-2767,共3页Heilongjiang Medical Journal

基　　金：新余市科技计划项目(20193090808)。

摘　　要：目的:探讨体外冲击波(ESWT)联合肩胛上神经阻滞治疗偏瘫肩痛(HSP)的临床疗效。方法:选取2020年1月—2021年12月江西省新余市人民医院收治的50例脑卒中HSP患者作为研究对象。采用随机数表法分为对照组和观察组,每组各25例。对照组在常规治疗基础上给予ESWT治疗,观察组在对照组基础上增加肩胛上神经阻滞治疗。对比两组患者治疗后的视觉模拟评分法(VAS)、肩关节被动活动度(PROM)及上肢运动功能(FMA)评分。结果:治疗后,观察组患者VAS评分明显低于对照组,差异有统计学意义(t=2.205,P<0.05);观察组患者PROM明显高于对照组,差异有统计学意义(t=7.493,P<0.05);观察组患者FMA评分明显优于对照组,差异有统计学意义(t=5.049,P<0.05)。结论:ESWT联合肩胛上神经阻滞能显著降低HSP患者的疼痛程度,增加肩关节活动度,改善上肢运动功能。Objective:To investigate the clinical efficacy of extracorporeal shock wave(ESWT)combined with suprascapular nerve block in the treatment of hemiplegic shoulder pain(HSP).Methods:50 cases of HSP patients with stroke admitted to the hospital from January 2020 to December 2021 were selected as the study population and were divided into control group and observation group using the random number table method,with 25 cases in each group.The control group was given ESWT on the basis of conventional treatment,and the observation group was treated with the addition of suprascapular nerve block on the basis of the control group.The visual analog scoring method(VAS),passive shoulder mobility(PROM)and upper limb motor function(FMA)score of the two groups were compared after treatment.Results:The VAS scores of patients in the observation group were significantly lower than those in the control group after treatment,and the difference was statistically significant(t=2.205,P<0.05).The PROM of patients in the observation group was significantly higher than that of the control group,and the difference was statistically significant(t=7.493,P<0.05).The FMA scores of patients in the observation group were significantly better than those in the control group,and the difference was statistically significant(t=5.049,P<0.05).Conclusion:ESWT combined with suprascapular nerve block significantly reduced the pain level,increased shoulder mobility and improved upper limb motor function in HSP patients.

关 键 词：体外冲击波 肩胛上神经阻滞 偏瘫肩痛 脑卒中 

分 类 号：R493[医药卫生—康复医学]