巴氯芬对偏瘫患者肢体功能恢复的影响  

Effect of baclofen on recovery of motor function of stroke patients with hemiplegia

作　　者：张自茂[1] 张盘德[1] 

机构地区：[1]佛山市第一人民医院康复科,广东佛山市528000

出　　处：《中国康复理论与实践》2004年第8期486-487,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨脑卒中偏瘫患者使用抗痉挛药物的时机及其对于肢体运动功能的影响。方法按肌张力增高程度将 83例脑卒中偏瘫患者分为轻度增高组 (A组 )和严重增高组 (B组 ) ,每组又分为对照组和试验组 ;对照组患者仅接受康复训练 ,试验组患者在康复训练的同时接受巴氯芬治疗 ;分别在训练前和训练 1个月后对 4组患者进行肢体运动功能和ADL能力评定。结果训练1个月后 ,4组患者的肢体功能和ADL能力均有提高 ,但A组内对照组与试验组患者提高的程度无显著性差异 ;B组内对照组与试验组患者提高的程度有显著性差异。结论肌张力轻度增高对脑卒中偏瘫患者肢体运动功能恢复无显著影响 ,只有当肌张力明显增高 (Asworth 3级以上 )并影响运动训练时 。ObjectiveTo explore the best applying time and effect of baclofen on recovery of motor function of stroke patients with hemiplegia.Methods83 stroke patients with hemiplegia were divided into group A and group B according to the degree of muscle tension, every group was divided into the treatment group and control group. Patients of the four groups were treated with routine rehabilitation training, and baclofen was added to the patients of two treatment groups. Motor ability and activities of daily living (ADL) of patients were evaluated before and after one month treatment.ResultsAfter one month treatment, motor ability and ADL of all patients were improved, but in group A, there were not significant differences existed between treatment group and control group ( P>0.05), while, there was a significant difference existed in group B ( P<0.01).ConclusionBaclofen is necessary to stroke patients with hemiplegia only when the muscle tension increased obviously (≥Asworth 3).

关 键 词：痉挛 偏瘫 运动功能 巴氯芬 

分 类 号：R743.3[医药卫生—神经病学与精神病学]