CAJ | 학술논문

目的：探讨肩撞击综合征( subacromial impingement syndrome, SAIS)疼痛特点,以期为其临床诊断提供症状学±据。方法对我院2008年10月-2012年12月确诊为SAIS 的39例,通过绘制疼痛评估图分析疼痛特点。结果39例均完成了疼痛评估图的绘制,表现为肩关节前方刀刺痛及闪痛24例,伴上臂钝痛及酸胀痛21例,伴肘以下部位钝痛及酸胀痛11例,出现手背部针扎样疼痛及麻木1例。统计学分析结果显示患者疼痛部位与疼痛性质密切相关(字2=14.679,P=0.005,Pearson列联系数=0.836)。本组疼痛程度视觉模拟评分为(8.04±2.35)分,疼痛分布数为(7.27±0.83)个亚区。结论疼痛评估图能够反映SAIS疼痛特点,可为SAIS临床诊断提供症状学±据。
목적：탐토견당격종합정( subacromial impingement syndrome, SAIS)동통특점,이기위기림상진단제공증상학±거。방법대아원2008년10월-2012년12월학진위SAIS 적39례,통과회제동통평고도분석동통특점。결과39례균완성료동통평고도적회제,표현위견관절전방도자통급섬통24례,반상비둔통급산창통21례,반주이하부위둔통급산창통11례,출현수배부침찰양동통급마목1례。통계학분석결과현시환자동통부위여동통성질밀절상관(자2=14.679,P=0.005,Pearson렬련계수=0.836)。본조동통정도시각모의평분위(8.04±2.35)분,동통분포수위(7.27±0.83)개아구。결론동통평고도능구반영SAIS동통특점,가위SAIS림상진단제공증상학±거。
Objective To describe the pain patterns of subacromial impingement syndrome ( SAIS) and establish the semeiology basis for diagnosis. Methods 39 patients were diagnosed as having SAIS in our hospital between October 2008 and December 2012, and their pain characteristics were analyzed by using assessment charts. Results The pain assessment charts were completed in all 39 patients, and the results showed 24 patients with knife-stabbing and shooting pains in anterior shoulder, 21 with dull pains and ache in upper arm, 11 with dull pains and ache in the positions below the elbow, and 1 with needle like pains and numbness in the back of the hands. Statistical analysis results showed that locations of pain were closely related to pain nature (chi-square=14. 679, P=0. 005, Pearson contingency coefficient=0. 836), pain visual analog scale score in these patients was 8. 04±2. 35, and distribution number was (7. 27 ±0. 83) subregions. Conclusion Pain assess-ment charts can reveal the pain features of SAIS, and provide semeiology basis for clinical diagnosis.