| 窦祖林,欧海宁,沈建虹,袁晓峰,兰 月.超声引导下的肉毒毒素注射对脑卒中肌痉挛的效果观察[J].中国康复医学杂志,2008,23(3):219~221 |
| 超声引导下的肉毒毒素注射对脑卒中肌痉挛的效果观察 点此下载全文 |
| 窦祖林 欧海宁 沈建虹 袁晓峰 兰 月 |
| 中山大学附属第三医院，510630 |
| 基金项目：国家科技部中国芬兰政府间科技合作项目（2006DFA33290） |
| DOI： |
| 摘要点击次数: 2743 |
| 全文下载次数: 2242 |
| 摘要： |
| 摘要 目的：评价超声引导下的肉毒毒素（BTXA）注射定位技术治疗脑卒中后肌痉挛的可行性及其价值。方法：选择因脑卒中致上肢或下肢痉挛患者5例,在彩色多普勒超声仪引导下，将BTXA准确注入肌肉局部。注射后佩戴抗痉挛矫形器并进行常规康复训练。在注射前、注射后2周、4周采用改良Ashworth评级（MAS）、 Fugl-Meyer 上肢功能评分、FIM自我照顾项评分、步速和步长测量进行相关评价。结果：治疗组在注射后2周、4周，肌肉痉挛的改善程度（MAS）、上肢运动功能（Fugl-Meyer评分）、与上肢相关的日常生活活动自理能力（FIM）、步长和步速的改善均优于注射前（P＜0.05）。结论：采用超声引导的BTXA注射定位技术治疗脑卒中后肌痉挛，定位准确，治疗效果明显。
关键词 肌痉挛；肌肉彩色定位图；超声波引导注射；肉毒毒素A
中图分类号：R743.3, R49 文献标识码：A 文章编号：1001-1242(2008)-03-0219-03 |
| 关键词：肌痉挛 肌肉彩色定位图 超声波引导注射 肉毒毒素A |
| The clinical effect of ultrasound guided botulinum toxin type A（BTXA） injection in treating muscles spasticity following stroke (5 cases report) Download Fulltext |
|
| Department of Rehabilitation Medicine, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510630 |
| Fund Project: |
| Abstract: |
| Objective:To evaluate the feasibility and its value of ultrasound guided botulinum toxin type A（BTXA） injection technique in treating muscles spasticity following stroke.Method:Five patients with extremities spasticity following stroke were recruited in this clinical study． Under the guide of color Doppler ultrasound diagnostic apparatus, BTXA was injected into multi-points of muscles. The outcome after BTXA injection was assessed by modified Ashworth scale(MAS), Fugl-Meyer assessment-upper limb(FMA-upper limb), Motor-functional independence measurement-upper limb (mot-FIM-upper limb), and measurement of step length and velocity, at the baseline， the 2nd week， 4th week after treatment respectively.Result:Compared the scores of MAS, FMA-upper limb, FIM-upper limb, step length and velocity after 2 and 4 weeks with before treatment, there were significant differences statistically(P<0.05).Conclusion:Ultrasound guided BTXA injection technique is an accurate positioning method in using BTXA to treat extremities muscle spasticity. |
| Keywords:muscle spasticity muscle color localized atlas ultrasound guided injection botulinum toxin type A |
|
| 查看全文 查看/发表评论 |
|
|
|
|
|
