肌骨超声介入治疗联合推拿治疗脑卒中后肩痛的疗效观察
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九江市第一人民医院

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江西省自然科学基金资助项目(2020BABL206110);江西省卫建委科技计划项目(2020YBBGWL009); 江西省卫健委科技计划项目(20177085);江西省卫健委科技计划项目(202140307)。


Therapeutic effect of massage combined with musculoskeletal ultrasound in the treatment of post-stroke shoulder pain
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九江市第一人民医院

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    摘要:

    目的:研究肌骨超声介入治疗联合推拿治疗脑卒中后肩痛的临床疗效。方法:选取2022年1月至2022年9月40例住院脑卒中后肩痛患者为研究对象,随机分为对照组和观察组,每组各20例。对照组在常规治疗基础上给予推拿治疗,观察组在对照组基础上给予肌骨超声介入治疗,均实施4个疗程后对比两组患者肩痛、上肢运动功能和肩关节活动度等情况。结果:治疗后两组患者,视觉模拟评分(VAS)均低于治疗前(P<0.05),且观察组治疗后VAS 评分低于对照组(P<0.05);上肢运动功能水平均高于治疗前(P<0.05),且观察组治疗后运动功能水平高于对照组(P<0.05);肩关节屈曲、外展水平均高于治疗前(P<0.05) ,且观察组治疗后屈曲、外展水平均高于对照组(P<0.05)。结论:肌骨超声介入治疗联合推拿治疗可明显降低脑卒中后肩痛患者的疼痛程度,改善上肢运动功能和肩关节活动度,操作性强,可为临床干预措施的制定提供可靠理论依据。

    Abstract:

    Abstract Objective: To explore the clinical efficacy of musculoskeletal ultrasound combined with massage in the treatment of post-stroke shoulder pain. Methods: A total of 40 hospitalized patients with poststroke shoulder pain from January 2022 to September 2022 were selected as study subjects and randomly divided into control group and observation group, with 20 cases in each group. The control group was given massage therapy on the basis of conventional treatment, and the observation group was given musculoskeletal ultrasound interventional therapy on the basis of the control group. After 4 courses of treatment, the two groups of patients were compared with shoulder pain, upper limb motor function and shoulder range of motion. Results: After treatment, visual analog scale (VAS) was lower than that before treatment (P < 0.05), and the VAS score of observation group was lower than that of control group (P < 0.05). The motor function level of the upper limbs was higher than that before treatment (P < 0.05), and the motor function level of the observation group after treatment was higher than that of the control group (P < 0.05). The flexion and abduction levels of shoulder joint were higher than those before treatment (P < 0.05), and the flexion and abduction levels of shoulder joint in observation group were higher than those in control group after treatment (P < 0.05). Conclusion: The interventional therapy of musculoskeletal ultrasound combined with massage can significantly reduce the degree of pain in patients with post-stroke shoulder pain, improve the motor function of the upper limb and the range of motion of the shoulder, and provide a reliable theoretical basis for the formulation of clinical intervention measures.

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  • 收稿日期:2022-12-01
  • 最后修改日期:2023-03-11
  • 录用日期:2023-05-04
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