网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
脑卒中后肩关节痛与骨质疏松的相关性分析
作者:秦曦  林杰文 
单位:广州医科大学附属第五医院 康复医学科, 广东 广州 510700
关键词:脑卒中 肩关节痛 骨质疏松 
分类号:R743.3
出版年·卷·期(页码):2018·46·第十一期(1232-1235)
摘要:

目的:探讨脑卒中后肩关节痛与骨质疏松的相关性。方法:将2017年1月至12月广州医科大学附属第五医院康复医学科住院部及门诊的80例脑卒中患者纳入本研究,行骨密度检查和NRS疼痛评分量表评分,分为肩关节痛低骨量组(40例)和肩关节痛骨质疏松组(40例)。每组再随机分为2个亚组,即常规治疗组(20例)和抗骨质疏松治疗组(20例)。治疗6个月后,再行骨密度检查及NRS疼痛评分量表评分。比较各组治疗前后的骨密度值、NRS疼痛评分,分析卒中后局部肩痛与腰椎、股骨颈骨密度的相关性。结果:治疗后,低骨量组和抗骨质疏松组患者的骨密度值及NRS疼痛评分较治疗前均有明显改善(P<0.05);抗骨质疏松组的改善程度明显优于常规治疗组(P<0.05)。结论:抗骨质疏松治疗对脑卒中后肩关节痛的治疗有效,明显优于常规治疗。卒中后局部肩痛与腰椎、股骨颈骨密度密切相关。

Objective:To investigate the correlation between shoulder pain and osteoporosis after stroke. Methods:80 inpatients and outpatients in the Department of Rehabilitation Medicine of the Fifth Affiliated Hospital of Guangzhou Medical University from January to December 2017 were included in the study. Bone mineral density test and NRS pain score scale were scored. They were divided intolow bone mass with pain group (40 cases) and shoulder joint pain osteoporosis group (40 cases). Each group was randomly divided into two subgroups:the conventional treatment group (20 cases) and the anti-osteoporosis treatment group (20 cases). After 6 months of treatment, bone mineral density and NRS pain rating scales were scored. The bone mineral density values and NRS pain scores before and after treatment were compared between the groups. The correlation between local shoulder pain along with lumbar spine and femoral neck bone mineral density was analyzed. Results:After treatment, the bone mineral density and NRS pain scores in the low bone mass group and the anti-osteoporosis group were significantly improved compared with those before treatment (P<0.05); the anti-osteoporosis group was significantly improved better than the conventional treatment group (P<0.05). Conclusion:Anti-osteoporosis treatment is effective in the treatment of shoulder pain after stroke, which is significantly better than conventional treatment. Local shoulder pain after stroke is due to lumbar spine and femoral neck bone density.

参考文献:

[1] 孙凡龙,王娥娥,梁余斌,等.卒中后中枢神经痛的研究进展[J].中风与神经疾病杂志,2015, 32(1):88-90.
[2] TONI D, di ANGELANTONIO E, di MASCIO M T, et al. Types of stroke recurrence in patients with ischemic stroke:a substudy from the PRoFESS trial[J]. Int J Stroke, 2014, 9(7):873-878.
[3] 盛延生,王艳辉.老年脑卒中患者继发骨质疏松的治疗体会[J].齐齐哈尔医学院学报,2011,32(6):892-893.
[4] MINAIRE P, NEUNIER P, EDOUARD C, et al. Quantitative histological data on disuse osteoporosis:comparison with biological data[J]. Calcif Tissue Res,1974, 17(1):57-73.
[5] MULLEY G, ESPLEY A J. Hip fracture after hemiplegia[J]. Postgraduate Med J, 1979, 55(642):264-265.
[6] WATANABE Y. An assessment of osteoporosis in stroke patients on rehabilitation admission[J]. Int J Rehabil Res, 2004, 27(2):163-166.
[7] RAMNEMARK A, NYBERG L, LORENTZON R, et al. Progressive hemiosteoporosis on the paretic side and increased bone mineral density in the nonparetic arm the first year after severe stroke[J]. Osteoporosis Int, 1999, 9(3):269-275.
[8] JØRGENSEN L, JACOBSEN B K, WILSGAARD T, et al. Walking after stroke:does it matter? Changes in bone mineral density within the first 12 months after stroke. a longitudinal study[J]. Osteoporos Int, 2000, 11(5):381-387.
[9] 贾晓静,贾少杰.脑卒中与骨质疏松的相关性[J].中国老年学杂志,2012,32(19):4267-4268.
[10] 卢智,郝有志,梁玉磊,等.老年脑卒中偏瘫肩痛500例临床分析[J].中国临床医生,2013,41(12):41-42.
[11] 郭金婉,张建中,赵序利,等.关节痛的病因研究进展[J].中国疼痛医学杂志,2016,22(12):881-885.
[12] 刘新,聂亚冬,单冰竹,等.超短波、中药熏洗结合康复训练治疗对老年脑卒中患者肩痛的影响[J].中国老年学杂志,2015,(10):2681-2682.
[13] 陈曦,孙旭,陈忠辉,等.胸腰椎压缩性骨折椎间盘形态学观察及临床意义[J].东南大学学报(医学版),2016,35(2):176-180.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 269952 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541