计算机视觉引导下富血小板血浆在卒中后上肢复杂性区域疼痛综合征中的应用  

Application of computer vision-guided platelet-rich plasma therapy in post-stroke upper limb complex regional pain syndrome

作　　者：麦王向 何伟仪[2] 刘国豪 黄展生 凌卫新 陈卓铭[1] MAI Wang-xiang;HE Wei-yi;LIU Guo-hao;HUANG Zhan-sheng;LING Wei-xin;CHEN Zhuo-ming(Department of Rehabilitation,the First Affiliated Hospital of Jinan University,Guangzhou 510630,Guangdong,China;不详)

机构地区：[1]暨南大学附属第一医院康复医学科,广东广州510630 [2]暨南大学附属第一医院儿科,广东广州510630 [3]华南理工大学数学学院,广东广州510641

出　　处：《广东医学》2025年第3期357-362,共6页Guangdong Medical Journal

基　　金：国家重点研发计划项目(2020YFC2005700);广东省医学科研基金立项项目(B2022207);广东省中医药局科研项目(20241070)。

摘　　要：目的评估计算机视觉技术引导下富血小板血浆(PRP)治疗对卒中后上肢复杂性区域疼痛综合征(CRPS)患者的疗效及其对上肢功能和日常生活能力的影响。方法为前瞻性、随机对照试验。2022年7月至2023年12月共纳入90例符合CRPS诊断标准的患者。参与者随机分配至对照组(n=45)和观察组(n=45)。对照组接受标准物理治疗,30 min/d,持续3周。观察组在接受相同的物理治疗基础上,额外每周进行1次计算机视觉系统引导下的PRP注射。治疗前后,采用简化Fugl-Meyer评分上肢部分(FMA-UE)、UCLA肩关节功能评分及视觉模拟评分(VAS)进行评估。结果治疗前,两组在FMA评分、UCLA评分及VAS评分方面差异无统计学意义(P>0.05)。治疗后,虽然FMA评分未见显著变化(P>0.05),但两组在UCLA评分和VAS评分上均有显著提高(P<0.05),且观察组的改善显著优于对照组(P<0.05)。结论计算机视觉引导下的PRP治疗能有效缓解卒中后CRPS的疼痛症状,并显著改善肩关节活动及功能。然而在提高患者上肢总体运动功能方面尚未观察到显著变化,仍需进一步研究以确认其潜在效果。Objective To evaluate the efficacy of computer vision-guided platelet-rich plasma(PRP)treatment in patients with post-stroke upper limb complex regional pain syndrome(CRPS)and assess its impact on upper limb function and daily living abilities.Methods This prospective,randomized controlled trial enrolled 90 patients meeting CRPS diagnostic criteria from July 2022 to December 2023.Participants were randomly assigned to a control group(n=45)or an observation group(n=45).The control group received standard physical therapy for 30 minutes daily over 3 weeks,while the observation group underwent the same physical therapy plus one weekly PRP injection guided by a computer vision system.Outcome assessments were performed using the simplified Fugl-Meyer Assessment for the Upper Extremity(FMA-UE),the UCLA Shoulder Function Score,and the Visual Analog Scale(VAS)for pain before and after treatment.Results Baseline comparisons revealed no significant differences between the groups in FMA-UE,UCLA,or VAS scores(P>0.05).Post-treatment,although FMA UE scores did not show significant changes(P>0.05),both groups demonstrated significant improvements in UCLA scores and VAS ratings(P<0.05).Notably,the observation group exhibited significantly greater improvements in shoulder function and pain relief compared to the control group(P<0.05).Conclusion Computer vision-guided PRP treatment effectively alleviates pain and enhances shoulder joint mobility and function in post-stroke CRPS patients.However,its impact on overall upper limb motor function remains inconclusive,necessitating further investigation to fully determine its therapeutic potential.

关 键 词：计算机视觉 富血小板血浆治疗 卒中 复杂性区域疼痛综合征 

分 类 号：R493[医药卫生—康复医学] R743[医药卫生—临床医学] TP181[自动化与计算机技术—控制理论与控制工程] R441.1[自动化与计算机技术—控制科学与工程]