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重复超声指导的头骨上神经阻塞在半肩部疼痛中的有效性:一项随机对照试验

Alper T Dogan¹, Yasemin Pekin Dogan², Ebru Aytekin²

¹Department of Anesthesia and Intensive Care, Amerikan Hospital, Istanbul, Turkey.

|February 13, 2026

概括

在中风幸存者中,重复的头骨上神经阻塞 (SSNB) 显著减少半肩部疼痛,改善肩部运动范围. 然而,SSNB在本研究中没有改善性或运动功能.

科学领域:

神经学神经学
康复医学康复医学康复医学
疼痛管理疼痛管理

背景情况:

半性肩部疼痛 (HSP) 是经常发生的中风后并发症,影响康复.
对HSP治疗上神经阻断 (SSNB) 的长期有效性,特别是重复使用时,需要进一步研究.

研究的目的:

评估重复超声导向SSNB在缓解疼痛,增强运动范围 (ROM) 和改善HSP患者运动功能的有效性.
为了比较接受重复SSNB和接受假注射的患者之间的结果.

主要方法:

这是一项双盲,随机对照试验,涉及42名HSP患者,与SSNB或对照 (假注射) 组进行1:1分配.
SSNB组在基线,3周和6周接受了超声波导向注射;两组都接受了标准化物理治疗.
在多个时间点评估疼痛 (VAS),ROM (goniometer),性 (Ashworth) 和运动功能 (Brunnstrom).

主要成果:

与对照组相比,SSNB组在干预后1,4周和7周的疼痛得分显著降低 (P<0.05).
在SSNB小组中,在第7周观察到肩部绑架和曲ROM显著改善 (P<0.05).
在整个研究期间,两组之间没有发现性或运动功能得分的显著差异.

结论:

重复的SSNB,当与物理治疗相结合时,对于减少疼痛和改善HSP患者的ROM是有效的.
SSNB并没有显著改善性或运动功能.
建议对延长后续期和活跃比较器进行进一步研究,以确定SSNB的长期益处.

关键词:

半截肢肩部疼痛半截肢肩部疼痛运动范围的范围.头骨上神经的阻断.超声波超声波是指超声波的使用.

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