体外冲击波治疗脑卒中患者肱二头肌痉挛状态的疗效

发布时间：2018-07-09 10:34

本文选题：体外冲击波 + 脑卒中　；参考：《吉林大学学报(医学版)》2017年01期

【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(P0.05);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(P0.05),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。
[Abstract]:Objective: to investigate the clinical effect of extracorporeal shock wave on spasticity of biceps brachii in stroke patients and to elucidate its possible mechanism. Methods: Forty-eight patients with spasm of biceps brachii were randomly divided into two groups: control group and combined treatment group. Combined treatment group combined with extracorporeal shock wave therapy on the basis of routine rehabilitation. Two weeks before treatment, modified Ashworth scale and simplified Fugl-Meyer score were used to evaluate the spasm of biceps brachii and motor function of upper extremity in two groups. Results: there was no significant difference between MAS and FMA scores of biceps brachii muscle in the two groups before treatment (P0.05), and at 2 weeks after treatment, there was no significant difference between the two groups (P0.05). The MAS and FMA scores of biceps brachii in the combined treatment group were significantly improved (P0.05), and the MAS score of the biceps brachii muscle in the combined treatment group was significantly lower than that in the control group (P0. 001) and the FMA score in the combined treatment group was significantly higher than that in the control group (P0. 023). No adverse reactions occurred in the combined group. Conclusion: extracorporeal shock wave therapy can effectively improve the spasm of biceps brachii in stroke patients, and the effective rate of the combined treatment group is significantly better than that of the control group.
【作者单位】：吉林大学第一医院康复科;
【基金】：吉林省科技厅自然科学基金资助课题(201015135)
【分类号】：R743.3;R493

【相似文献】