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目的:观察软组织贴扎术用于脑卒中患者预防肩关节半脱位的临床效果。方法:选取我科因脑卒中入院治疗、BronnstromⅠ-Ⅱ期(即软瘫期)的患者共计100例作为研究对象,随机分为研究组和对照组。对照组予常规临床治疗、理疗、良姿位摆放。观察组在对照组的治疗基础上,予弹性胶布固定肩袖尤其是冈上肌,及喙肱韧带,定期或必要时更换胶布,持续贴扎1个月,临床预后评定疾病效果。结果:研究组患者临床疾病效果为95.0%、预后并发症发生率为2.5%,对照组患者临床疾病效果为75.0%、预后并发症发生率为20.0%,两组差异有统计学意义(P<0.05)。结论临床针对脑卒中肩关节半脱位患者应用软组织贴扎技术作用显著,可提高疾病效果,脱临床效果明显,值得推广。
Objective: To observe the clinical effect of soft tissue laminating in prevention of shoulder subluxation in stroke patients. Methods: A total of 100 patients with Bronnstrom I-II (ie, soft-paralysis) were enrolled in our hospital because of stroke. They were randomly divided into study group and control group. The control group to conventional clinical treatment, physiotherapy, good posture placed. On the basis of the treatment of the control group, the observation group was given elastic bandage to fix the rotator cuffs, especially the supraspinatus and the coracoclavicular ligaments. The tapes were changed regularly or when necessary. The sticking was continued for 1 month, and the clinical outcome was evaluated. Results: The clinical effect of the study group was 95.0%, the complication rate was 2.5%, the clinical effect of the control group was 75.0%, the incidence of postoperative complication was 20.0%, the difference was statistically significant (P < 0.05). Conclusion The clinical application of soft tissue banding technique in patients with shoulder subluxation of stroke is significant and can improve the effect of the disease. It is worth to be popularized because of its clinical effect.