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目的观察综合康复治疗对脑卒中后肩痛的治疗效果。方法采用综合康复措施治疗28例脑卒中后肩痛患者,治疗方法包括正确体位摆放、主动和被动运动、超激光治疗、低频治疗、肩吊带及药物治疗等。治疗时间为20 d。治疗前、后采用和目测类比评分法(visual analogue scale,VAS)和Fugl-Meyer量表对患肩疼痛、肩关节的活动功能、患侧上肢运动功能进行评定。结果 28例患者经过为期20d的综合康复治疗后,治疗后患侧疼痛和肩关节活动功能、患侧上肢运动功能均较治疗前有明显改善(均P<0.05)。结论综合康复治疗对脑卒中后肩痛患者具有良好疗效。
Objective To observe the effect of comprehensive rehabilitation therapy on post-stroke shoulder pain. Methods The comprehensive rehabilitation measures were used to treat 28 post-stroke shoulder pain patients. The treatment included correct position, active and passive exercise, super laser treatment, low-frequency treatment, shoulder harness and drug therapy. The treatment time is 20 days. Before and after treatment, visual analogue scale (VAS) and Fugl-Meyer scale were used to assess shoulder pain, shoulder function and ipsilateral upper limb motor function. Results After 28 days’ comprehensive rehabilitation treatment, the 28 patients had ipsilateral pain and shoulder function, and the motor function of affected side was significantly improved compared with those before treatment (all P <0.05). Conclusion Comprehensive rehabilitation therapy has good curative effect on patients with shoulder pain after stroke.