超声引导下针刀联合康复训练治疗卒中后肩-手综合征患者的效果  

Effects of ultrasound-guided needle knife combined with rehabilitation training on patients with shoulder-hand syndrome after stroke

作　　者：王明一 朱文锋 李力 WANG Mingyi;ZHU Wenfeng;LI Li(The Third Affiliated Hospital of Guangdong Medical University,Longjiang Hospital of Shunde District of Foshan City,Foshan 528300 Guangdong,China)

机构地区：[1]广东医科大学附属第三医院佛山市顺德区龙江医院,广东佛山528300

出　　处：《中国民康医学》2023年第22期97-99,共3页Medical Journal of Chinese People’s Health

基　　金：佛山市自筹经费类科技计划项目(2220001005186)。

摘　　要：目的:观察超声引导下针刀联合康复训练治疗卒中后肩-手综合征(SHS)患者的效果。方法:选取2021年4月至2022年12月该院收治的90例卒中后SHS患者进行前瞻性研究,按随机数字表法将其分为对照组和观察组各45例。对照组采用康复训练治疗,观察组在对照组基础上采用超声引导下针刀治疗。比较两组临床疗效,治疗前后肢体肿胀、疼痛[视觉模拟评分法(VAS)]评分,以及肩关节活动度。结果:观察组治疗总有效率为95.56%(43/45),明显高于对照组的73.33%(33/45),差异有统计学意义(P<0.05);治疗后,两组肢体肿胀和VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组前屈、内收、后伸及外展等肩关节活动度均大于治疗前,且观察组大于对照组,差异有统计学意义(P<0.05)。结论:在康复训练基础上采用超声引导下针刀治疗卒中后SHS患者可提高治疗总有效率,减轻肢体肿胀、疼痛,增加肩关节活动度,效果优于单纯康复训练。Objective:To observe effects of ultrasound-guided needle knife combined with rehabilitation training in treatment of patients with shoulder-hand syndrome(SHS)after stroke.Methods:A prospective study was conducted on 90 patients with SHS after stroke admitted to this hospital from April 2021 to December 2022.According to the random number table method,they were divided into control group and observation group,45 cases in each group.The control group was treated with rehabilitation training,while the observation group was treated with ultrasoundguided needle knife on the basis of the control group.The clinical efficacy,the limb swelling and pain[visual analogue scale(VAS)]scores before and after the treatment,and the shoulder range of motion were compared between the two groups.Results:The total effective rate of the observation group was 95.56%(43/45),which was significantly higher than 73.33%(33/45)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the limb swelling and VAS scores of the two groups were lower than those before the treatment,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,the shoulder range of motion of flexion,adduction,extension and abduction in the two groups was greater than that before the treatment,those in the observation group were greater than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the rehabilitation training,the ultrasound-guided needle knife in the treatment of the patients with SHS after stroke can improve the total effective rate of treatment,reduce the limb swelling and pain,and increase the shoulder range of motion.Moreover,it is superior to single rehabilitation training.

关 键 词：卒中 肩-手综合征 超声 针刀 康复训练 肿胀 疼痛 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R255.2[医药卫生—临床医学]