摘要
目的评价在彩超引导下行肉毒毒素注射治疗脑卒中后肌痉挛的临床效果。方法回顾性分析我院2014~2015年收治的34例脑卒中后肌痉挛患者在彩超引导下注射肉毒毒素治疗的结果,使用改良评分和改良指数评分评价治疗前与治疗后5周患者肌张力及日常生活活动能力变化情况。结果经5周的注射治疗,患者改良评分与改良指数评分均高于治疗前,同时治疗后患者的日常生活活动能力均显著改善,差异有统计学意义（P〈0.05）。结论彩超引导下注射肉毒毒素治疗脑卒中后肌痉挛患者疗效确切,注射中借助彩超引导定位能够确保定位准确,治疗后患者肌张力与生活活动能力得到显著改善,临床治疗效果理想。
Objective To study the clinical analysis of botulinum toxin injection for the treatment of post-stroke spasticity under ultrasound guidance. Methods 34 patients after stroke from 2014 to 2015 in our hospital were studied by retrospective analysis, changes in muscle tone and activity of daily living in patients with 5 weeks before treatment and after treatment were evaluated using the modified score and the modified index score. Results After 5 weeks treatment, the improved ratings and modified index score was significantly higher than before treatment（P〈0.05）, the patient＇s activities of daily living were significantly improved. Conclusion With ultrasound guided positioning to ensure accurate positioning, the treatment is curative effect, the muscle tension and life activity of the patients has been significantly improved.
出处
《中国继续医学教育》
2016年第19期57-58,共2页
China Continuing Medical Education
关键词
彩超引导
脑卒中后肌痉挛
肉毒毒素
Ultrasound guidance
Post-stroke spasticity
Botulinum toxin
