超声引导下曲安奈德注射联合微波治疗脑卒中后肩痛的效果  

Effect of Ultrasound Guided Triamcinolone Injection Combined with Microwave Therapy on Shoulder Pain After Stroke

作　　者：张海娜[1] 党长林 陈冲 王正辉[1] 王俊岭[1] 牛伟伟 ZHANG Haina;DANG Changlin;CHEN Chong;WANG Zhenghui;WANG Junling;NIU Weiwei(Rehabilitation Department,the First Affiliated Hospital of Xinxiang Medical College,Xinxiang 453100,China)

机构地区：[1]新乡医学院第一附属医院康复科,河南新乡453100

出　　处：《河南医学研究》2024年第8期1441-1444,共4页Henan Medical Research

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20220610)。

摘　　要：目的研究超声引导下曲安奈德注射联合微波治疗脑卒中后肩痛的效果。方法选取2020年10月至2021年8月新乡医学院第一附属医院收治的符合入选标准的56例脑卒中后肩痛患者,应用随机数字法分为A、B两组,每组28例,A组接受常规康复联合超声引导下曲安奈德注射治疗,B组接受常规康复、超声引导下曲安奈德注射及微波治疗。比较两组治疗前与治疗4周后的视觉模拟评分法(VAS)评分、Fugl-Meyer运动功能评定量表(FMA)上肢部分评分及肩关节前屈、外展、外旋被动活动度(PROM)的变化情况。结果治疗4周后,两组VAS评分较治疗前下降,肩关节前屈及外展PROM、FMA均较治疗前升高(P<0.05),B组VAS评分低于A组,肩关节前屈、外展PROM及FMA高于A组(P<0.05),两组治疗后肩关节外旋PROM差异无统计学意义(P>0.05)。结论超声引导下曲安奈德注射联合微波对于脑卒中后肩痛患者的治疗效果较好,能够改善患者上肢功能及日常生活能力。Objective To study the effect of ultrasound guided triamcinolone injection combined with microwave therapy on shoulder pain after stroke.Methods A total of 56 patients with post-stroke shoulder pain in the First Affiliated Hospital of Xinxiang Medical College from October 2020 to August 2021 who met the inclusion criteria were collected and divided into two groups by random number method,with 28 cases in each group.Group A were given routine rehabilitation combined with ultrasound-guided triamcinolone injection treatment.Group B were given routine rehabilitation,ultrasound guided triamcinolone injection and microwave therapy.Visual analogue scale(VAS),upper limb portion of Fugl-Meyer motor assessment function assessment(FMA)and shoulder flexion,abduction,external rotation passive range of motion(PROM)were compared between the two groups before treatment and 4 weeks after treatment.Results After 4 weeks of treatment,the VAS scores of two groups declined,shoulder flexion PROM,abduction PROM and FMA of two groups were higher than before treatment(P<0.05).The VAS score in group B was lower than group A,and shoulder flexion,abduction PROM and FMA in group B were higher than those in group A(P<0.05).There was no statistical difference in external rotation PROM of shoulder between the two groups after treatment(P>0.05).Conclusion Ultrasound-guided triamcinolone injection combined with microwave therapy is more effective in the treatment of post-stroke patients with shoulder pain,and can improve the upper limb function and daily living ability of patients.

关 键 词：脑卒中 肩痛 曲安奈德 微波 

分 类 号：R743.3[医药卫生—神经病学与精神病学]