肌骨超声引导精准介入联合推拿治疗脑卒中后肩痛的临床效果  

Clinical Effect of Musculoskeletal Ultrasound-Guided Precise Intervention Combined with Massage Therapy in Post-Stroke Patients with Shoulder Pain

作　　者：闫红杰 YAN Hongjie(Department of Ultrasound Medicine,Zhengzhou 460 Hospital,Zhengzhou Henan 450007)

机构地区：[1]郑州四六〇医院超声医学科,河南郑州450007

出　　处：《医学临床研究》2025年第3期376-379,共4页Journal of Clinical Research

基　　金：2022年度河南省医学科技攻关项目(编号:LHGJ20220727)。

摘　　要：【目的】探讨肌骨超声引导精准介入联合推拿治疗脑卒中后肩痛的临床效果。【方法】选取2021年3月至2024年2月本院收治的120例脑卒中后肩痛患者,按照随机数字表法分成观察组(采用肌骨超声引导精准介入治疗联合推拿治疗)和对照组(采用推拿治疗),每组60例。比较两组肩痛程度、肌骨彩超指标、肩关节活动度、肩关节功能及上肢功能。【结果】治疗后,两组视觉模拟评分法(VAS)评分均低于治疗前(P<0.05),且观察组低于对照组(P<0.05);治疗后,两组肩峰至大结节间距、盂肱关节下方关节囊厚度均低于治疗前(P<0.05),且观察组低于对照组(P<0.05);治疗后,两组肩关节屈曲、外展、伸展活动度及中文版Constant-Murley肩关节评分量表(CMS)评分、简化Fugl-Meyer上肢功能评分量表(FMA-UE)评分高于治疗前(P<0.05),且观察组高于对照组(P<0.05)。【结论】肌骨超声引导精准介入联合推拿治疗脑卒中后肩痛患者,可减轻患者疼痛程度,降低肌骨彩超指标,提高肩关节活动度,改善肩关节功能及上肢功能。【Objective】To investigate the clinical effect of musculoskeletal ultrasound-guided precision intervention combined with massage in the treatment of post-stroke patients with shoulder pain.【Methods】A total of 120 stroke patients with post-stroke shoulder pain admitted to our hospital from March 2021 to February 2024 were selected.According to random number table method,patients were divided into the observation group(receiving musculoskeletal ultrasound-guided precision interventional therapy combined with massage therapy)and the control group(receiving massage therapy),with 60 cases in each group.The degree of shoulder pain,musculoskeletal color ultrasound index,shoulder joint range of motion,shoulder joint function and upper limb function were compared between the two groups.【Results】After treatment,the pain analog scale(VAS)scores of both groups were lower than before treatment(P<0.05),and the VAS in the observation group was lower than that in the control group(P<0.05).After treatment,the distance from acromion to greater tubercle and the thickness of joint capsule below glenohumeral joint in the two groups were lower than before treatment(P<0.05),and these parameters in the observation group was lower than those in the control group(P<0.05).After treatment,the flexion,extension and extension range of shoulder,the Chinese version of Constant-Murley Shoulder Joint Rating Scale(CMS)score and the simplified Fugl-Meyer Upper Limb Function Rating Scale(FMA-UE)score of the two groups were higher than before treatment(P<0.05),and these scores in the observation group was higher than those in the control group(P<0.05).【Conclusion】Musculoskeletal ultrasound-guided precise intervention combined with massage in the treatment of post-stroke shoulder pain patients can reduce shoulder pain,reduce musculoskeletal color ultrasound indicators,improve shoulder joint motion,and improve shoulder joint function and upper limb function.

关 键 词：卒中 超声检查 推拿疗法 肩痛 治疗结果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]