| 蔡桂元,贺涓涓,李 娜,李 鑫,窦祖林,解东风,陈嘉如,姜 丽.卒中后偏瘫肩痛患者肩周组织超声影像特点[J].中国康复医学杂志,2019,(1):37~42 |
| 卒中后偏瘫肩痛患者肩周组织超声影像特点 点此下载全文 |
| 蔡桂元 贺涓涓 李 娜 李 鑫 窦祖林 解东风 陈嘉如 姜 丽 |
| 中山大学附属第三医院， 广州， 510630 |
| 基金项目：国家自然科学基金资助项目（81201508） |
| DOI： |
| 摘要点击次数: 1615 |
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| 摘要： |
| 摘要
目的：本研究拟通过对脑卒中后偏瘫肩痛患者进行肩关节超声检查，观察卒中后偏瘫患者肩关节及其周围组织的超声影像特点，为偏瘫肩痛患者个体化临床治疗提供客观依据。
方法：2016年10月—2017年4月，随机纳入在中山大学附属第三医院康复科住院的31例偏瘫患者进行研究，根据NAS评分将所有患者分为肩痛组和非肩痛组，所有患者双侧肩关节均进行超声检查。体格检查包括肩关节被动关节活动度、Fugl-Meyer上肢功能评定、内收内旋肌群肌张力等。
结果：患者肩关节半脱位发生率：肩痛组高于非肩痛组（81.3% vs 40.0%，P=0.018）。肩痛组患者肩胛下肌-喙突滑囊粘连（81.3%）、肩峰下撞击征（75.0%）和肩峰-三角肌下滑囊病变（56.3%）的发生率均显著高于非肩痛组，组间差异有显著性意义（P＜0.05）。
结论：本研究中，卒中后偏瘫肩痛患者的肩关节半脱位、肩胛下肌-喙突滑囊粘连、肩峰下撞击征及肩峰-三角肌下滑囊炎发生率显著高于非肩痛患者。超声影像可明确卒中后偏瘫肩痛患者肩关节及其周围软组织病变，有助于明确导致卒中后肩痛的可能原因，为卒中后肩痛患者的个体化临床治疗提供参考依据。 |
| 关键词：卒中 肩痛 肌骨超声 |
| Sonographic characteristics in stroke patients with hemiplegic shoulder pain Download Fulltext |
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| The Third Affiliated Hospital of Sun-Yat Sen University, 510630 |
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| Abstract: |
| Abstract
Objective: To observe the characteristics and pathological changes of shoulder sonograph in patients with hemiplegic shoulder pain after stroke, and to provide the basis for clinical treatment.
Method: Thirty-one patients with hemiplegia were enrolled in the study. According to the NAS score, the patients were divided into 2 groups, shoulder-pain group and non-shoulder-pain group. Both shoulders of patients were examined by musculoskeletal sonography. Physical examination includes passive range of motion, Fugl-Meyer upper limb function assessment, adduction and internal rotation muscle tension.
Result: The incidence of shoulder subluxation was significantly higher in the shoulder pain group than in the painless group (81.3% vs 40.0%). The incidence of subscapularis muscle-coracoid adhesions, subacromial impingement and acrominocular-deltoid bursa lesions were also higher in the shoulder-pain group than in the painless group (P＜0.05).
Conclusion: Incidences of shoulder subluxation, subscapularis muscle-coracoid adhesions, subacromial impingement and shoulder-deltoid bursitis in patients with stroke hemiplegic shoulder pain were higher than those painless (P＜0.05). |
| Keywords:stroke shoulder pain musculoskeletal ultrasound |
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