| 姜丽,王巧缘,温红梅,窦祖林,胡昔权,兰月,郑海清,丘卫红,卫小梅.超声引导联合电刺激定位注射肉毒毒素治疗脑卒中后上肢痉挛[J].中国医学影像技术,2012,28(4):769~772 |
| 超声引导联合电刺激定位注射肉毒毒素治疗脑卒中后上肢痉挛 |
| Clinical effect of ultrasound guidance combined with electrical stimulation botulinum toxin type A injection in upper limb spasticity due to stroke |
| 投稿时间：2011-09-20 修订日期：2011-11-30 |
| DOI： |
| 中文关键词: 肌痉挛 超声检查 电刺激 肉毒毒素A |
| 英文关键词:Spasticity Ultrasonography Electrical stimulation Botulinum toxin type A |
| 基金项目: |
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| 中文摘要: |
| 目的 评价超声引导联合电刺激定位注射肉毒毒素(BTX-A)治疗脑卒中后上肢肌痉挛的效果。方法 选择脑卒中上肢痉挛患者23例,在超声引导联合电刺激定位引导下,多点注射法将BTX-A注入靶肌。注射后进行常规康复训练。注射前、注射后1、2、4、12周分别采用改良Ashworth评分、腕指关节主动活动度测量、Fug1-Meyer评估表对上肢部分进行疗效评价。结果 注射BTX-A后,患者肌张力、腕指关节主动活动度、Fug1-Meyer评估表上肢部分评分均较注射前明显改善(P均<0.05)。结论 超声引导联合电刺激定位注射BTX-A治疗脑卒中后上肢肌痉挛,定位准确,治疗效果明显。 |
| 英文摘要: |
| Objective To evaluate the clinical effect of ultrasound guidance combined with electrical stimulation botulinum toxin type A (BTX-A) injection in upper limb spasticity (ULS) in poststroke patients. Methods Twenty-three patients with ULS following stroke were recruited. Under the guide of color Doppler ultrasound combined with electrical stimulation, BTX-A was injected into multi-points of muscles. Conventional rehabilitation training was performed after BTX-A injection. The outcome after BTX-A injection was assessed by modified Ashworth scale (MAS), active rang of movement (AROM) and Fug1-Meyer assessment (FMA). All assessments were performed at the baseline, 1, 2, 4 and 12 weeks after injection, respectively. Results Compared with pre-injection, scores of MAS, AROM and FMA were obviously improved 1, 2, 4 and 12 weeks after BTX-A injection (all P<0.05). Conclusion Ultrasound guidance combined with electrical stimulation injection is an accurate positioning method in using BTX-A to treat ULS in strokes. |
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