脑卒中肩痛患者肩部病变的研究

发布时间：2018-01-21 12:27

本文关键词： 脑卒中肩痛超声检查　出处：《中国康复医学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的:通过超声检查分析脑卒中肩痛患者肩部病变的流行病学特点,研究脑卒中肩痛患者肩周肌力与肩部病变程度的相关性。方法:超声检查脑卒中肩痛患者143例,根据患侧肩周肌力不同分为肩周肌力3级组76例患者,肩周肌力≥3级组67例患者。结果:脑卒中患者肩部软组织病变总的发生率为74.8%(n=107),其中肩峰下-三角肌下滑囊积液或炎症的发生率最高,为41.3%(n=59),肱二头肌长头腱肌腱炎、腱鞘积液或炎症的发生率为24.5%(n=35),肩袖肌腱腱病的发生率为22.4%(n=32),肩袖撕裂(部分撕裂或全层撕裂)的发生率为20.3%(n=29)。脑卒中肩痛患者的肩部病变程度与其患侧肩周肌力之间无显著性意义上的相关性(P0.05)。结论:脑卒中肩痛患者的肩部病变发生率很高,其病变程度与患侧肩周肌力无关。早期及时了解脑卒中肩痛患者的肩部病变,并给予有效的治疗措施,有利于脑卒中患者上肢功能的康复。
[Abstract]:Objective: to analyze the epidemiological characteristics of shoulder lesions in stroke patients with shoulder pain by ultrasonic examination. Methods: 143 patients with shoulder pain were examined by ultrasound. According to the shoulder muscle strength of the affected side, 76 patients were divided into three groups. Results: the total incidence of shoulder soft tissue lesions in patients with stroke was 74.8%. The highest rate of effusion or inflammation was found in the subacromium-deltoid muscle (41.3%) and the long head tendon tendinitis of the biceps brachii (41.3%). The incidence of effusion or inflammation in tendon sheath was 24.5%, and the incidence of rotator cuff tendon disease was 22.4%. The incidence of rotator cuff tear (partial tear or full-thickness tear) was 20.30.There was no significant correlation between the severity of shoulder lesion and the peripheral muscle strength of the affected side in patients with stroke (2). Conclusion: the incidence of shoulder lesion in stroke patients is very high. The extent of the lesion is not related to the peripheral muscle strength of the affected side. Early and timely understanding of shoulder lesions in stroke patients and effective treatment measures are beneficial to the rehabilitation of upper limb function of stroke patients.
【作者单位】：北京大学第三医院康复医学科;
【分类号】：R743.3
【正文快照】： 患侧肩部疼痛是脑卒中患者常见的并发症,据型及诊断标准如下:不完全统计肩痛的发生率为5%—84%[1]。肩痛不仅(1)肱二头肌长头腱腱鞘积液:探头横断扫查肱会直接影响患者的关节及肢体功能,程度较重时也二头肌长头腱,肌腱周围有无回声环绕,厚度2mm会影响患者的睡眠、情绪和心理

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