脑卒中后肩关节痛与骨质疏松的相关性分析-现代医学

脑卒中后肩关节痛与骨质疏松的相关性分析

单位：广州医科大学附属第五医院康复医学科, 广东广州 510700

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.

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