摘要
目的:探讨体外冲击波治疗脑卒中患者肱二头肌痉挛状态的临床疗效,阐明其可能机制。方法:选择脑卒中后肱二头肌痉挛状态患者48例,按随机数字表法随机分为对照组和联合治疗组,每组24例。2组患者均接受常规康复治疗,联合治疗组患者在常规康复治疗的基础上联合体外冲击波治疗。于治疗前、治疗2周时采用改良Ashworth量表(MAS)和简化的Fugl-Meyer评分法(FMA)评定2组患者肱二头肌痉挛状态和上肢运动功能。结果:治疗前2组患者肱二头肌MAS和FMA评分组间比较差异无统计学意义(P>0.05);与治疗前比较,治疗2周时,联合治疗组患者肱二头肌MAS和FMA评分均明显改善(P<0.05),且联合治疗组患者肱二头肌MAS评分明显低于对照组(P=0.001),FMA评分明显高于对照组(P=0.023)。治疗过程中联合组患者均无不良反应发生。结论:应用体外冲击波治疗可有效改善脑卒中患者肱二头肌痉挛状态,且联合治疗组的有效率明显优于对照组。
Objective： To discuss the clinical efficacy of extracorporeal shock wave therapy（ESWT） in the treatment of spasticity of biceps brachii in the stroke patients,and to elucidate its possible mechanism.Methods： A total of 48 patients with spasticity of biceps brachii after stroke were selected divided into control group and combined treatment group according to the table of random number（n=24）.All patients in two groups received routine rehabilitation treatment. Based on routine treatment, the patients in combined treatment group received ESWT.Modified Ashworth Scale（MAS） and simplified Fugl-Meyer（FMA） were used to evaluate the spasticity of biceps brachii and upper limb motor function of the patients in two groups before treatment and 2 weeks after treatment.Results： Before treatment, there was no significant difference in the MAS score and FMA score of biceps brachii of the patients between two groups（P〉0.05）.Compared with before treatment,the scores of MAS and FMA of biceps brachii of the patients in combined treatment group were significantly improved（P〈0.05）.The MAS score of biceps brachii of the patients in combined treatment group 2 weeks after treatment was lower（P=0.001） while the FMA score was significantly higher than those in control group（P=0.023）.There were no adverse reactions in the patients in combined treatment group.Conclusion： Aplication of ESWT can effectively relieve the spasticity of biceps brachii of the stroke patients,and the effective rate in combined treatment group was greatly superior to control group.
出处
《吉林大学学报（医学版）》
CAS
CSCD
北大核心
2017年第1期151-154,共4页
Journal of Jilin University：Medicine Edition
基金
吉林省科技厅自然科学基金资助课题(201015135)
关键词
体外冲击波
脑卒中
肱二头肌
痉挛状态
extracorporeal shock wave stroke biceps brachii spasticity
