定点注射青藤碱对脑卒中肩痛患者生存质量的影响  

Effect of Sopt Injection of Sinomenine on Life Quality of Patients with Shoulder Pain after Stroke

作　　者：王锋 萧峰 步海玲 王雷 付琳 WANG Feng;XIAO Feng;BU Hailing;WANG Lei;FU Lin(Department of Rehabilitation Medicine,Shouguang City Traditional Chinese Medicine Hospital,Shouguang,Shandong 262700)

机构地区：[1]山东省寿光市中医医院康复医学科,山东寿光262700

出　　处：《智慧健康》2023年第22期160-163,168,共5页Smart Healthcare

基　　金：潍坊市卫生健康委员会中医药科研项目计划《定点介入注射青藤碱治疗卒中后肩痛的临床研究》(项目编号:2021年(第四类)第028号)。

摘　　要：目的明确定点介入注射青藤碱在卒中后肩关节疼痛中的作用。方法选取2021年3月—2022年4月寿光市中医院康复科收治的58例脑卒中后肩痛患者,随机分为对照组和治疗组,每组29例,对照组应用康复治疗,治疗组在对照组基础上加用定点介入注射青藤碱。通过观察患肢肌力、肩部疼痛及活动度,采用FuglMeye法评价肩关节被动活动范围及活动过程中的疼痛程度。结果在疼痛、关节活动度方面,治疗组明显优于对照组(P<0.05);在上肢肌力方面,两组无明显差异(P>0.05)。结论定点介入注射青藤碱能有效缓解卒中后肩痛。Objective To clarify effect of spot interventional injection of sinomenine in treatment of shoulder joint pain after stroke.Methods The paper chose 60 patients with post-stroke shoulder pain admitted to rehabilitation ward of Shouguang City Hospital of Traditional Chinese Medicine from March 2021 to April 2022,and divided them into control group and treatment group randomly,with 30 cases in each group.Muscle strength,shoulder pain and range of motion of affected limb was observed,passive range of motion of shoulder joint and pain degree during process of activity was evaluated with Fugl Eye method.Results Treatment group had significantly better than control group in terms of pain and joint mobility(P<0.05).There was no significant difference in upper limb muscle strength between two groups(P>0.05).Conclusion Spot interventional injection of sinomenine can alleviate shoulder pain after stroke effectively.

关 键 词：卒中后肩痛 定点介入 青藤碱 疼痛 关节活动度 

分 类 号：R743.3[医药卫生—神经病学与精神病学]