CAJ | 학술논문

观察液电式体外冲击波治疗偏瘫肩痛(HSP)的疗效。方法脑卒中患者70例随机分为对照组(n=35)和观察组(n=35)，两组患者进行运动疗法治疗，观察组同时对 HSP 肩关节进行体外液电式冲击波治疗。结果治疗4周后，观察组的治愈率为60.0%(21/35)，总有效率为91.4%(33/35)，对照组的治愈率为34.3%(12/35)，总有效率为71.4%(25/35)，两组比较差异有统计学意义(P <0.05)。两组治疗后与治疗前比较疼痛视觉模拟(VAS)评分及上肢运动功能(Fugl-Meyer)评分均有显著改善，分别为(5.91±1.70)分 vs (3.49±1.99)分、(5.80±1.47)分 vs (4.69±1.67)分 vs (24.86±9.08)分 vs (46.47±9.91)分、(26.91±9.70)分 vs (31.09±10.07)分，且观察组明显优于对照组(均P<0.01)。结论液电式体外冲击波是一种可供选择的治疗 HSP的较好方法。
관찰액전식체외충격파치료편탄견통(HSP)적료효。방법뇌졸중환자70례수궤분위대조조(n=35)화관찰조(n=35)，량조환자진행운동요법치료，관찰조동시대 HSP 견관절진행체외액전식충격파치료。결과치료4주후，관찰조적치유솔위60.0%(21/35)，총유효솔위91.4%(33/35)，대조조적치유솔위34.3%(12/35)，총유효솔위71.4%(25/35)，량조비교차이유통계학의의(P <0.05)。량조치료후여치료전비교동통시각모의(VAS)평분급상지운동공능(Fugl-Meyer)평분균유현저개선，분별위(5.91±1.70)분 vs (3.49±1.99)분、(5.80±1.47)분 vs (4.69±1.67)분 vs (24.86±9.08)분 vs (46.47±9.91)분、(26.91±9.70)분 vs (31.09±10.07)분，차관찰조명현우우대조조(균P<0.01)。결론액전식체외충격파시일충가공선택적치료 HSP적교호방법。
Objective To observe the clinical efficacy of liquid-electric extracorporeal shock wave (ESW) combined with therapeutic exercise in treating hemiplegic shoulder pain.Methods Seventy patients with stroke were randomly divided into control group and observation group,the control group received therapeutic exercise,the observation group was used by liquid-electric ESW combined with therapeutic exercise,then,the clinical efficiency of two groups were evaluated before and after treatment by effective rate,visual analogue scale (VAS),Fugl-Meyer Assessment(FMA).Results After treatment of four weeks,the cure rate and the effective rate in the observation group were 60.0%(21/35),91.4%(33/35),while those in the control group were 34.3%(12/35),71.4%(25/35) (both P <0.05 );Before and after treatment,the VAS and FMA of observation group and control group were respectively (5.91±1.70)marks vs (5.80±1.47)marks,(3.49±1.99)marks vs (4.69±1.67)marks;(24.86± 9.08)marks vs (26.91 ± 9.70)marks,(46.47 ± 9.91)marks vs (31.09 ± 10.07)marks.The two groups had significantly improved after treatment in the VAS and Fugl-Meyer score(all P<0.01),and the observation group was better than the control group(all P<0.01).Conclusion Liquid-electric ESW therapy is a better therapy for hemiplegic shoulder pain,the method is worth using in clinic.