彩超引导下肉毒毒素注射和肌电生物反馈治疗下肢肌肉痉挛的疗效观察  

Clinical Efficacy of Ultrasound-guided Botulinum Toxin Type A Injection and Muscle Electricity Biofeedback Treatment for Patients with Spasticity in Lower Limb Muscles

作　　者：陈华先[1] 丁旭东[1] 张贵斌[1] 黄瓅[1] 宋金辉[1] 洪艳[1] 王汉[1] 

机构地区：[1]湖北医药学院附属襄阳医院神经内科,湖北襄阳441000

出　　处：《神经损伤与功能重建》2012年第5期355-357,共3页Neural Injury and Functional Reconstruction

摘　　要：目的:观察采用彩超引导下注射A型肉毒毒素(BTX-A)和肌电生物反馈治疗脑梗死后下肢肌肉痉挛的临床疗效。方法:选择36例脑梗死偏瘫后下肢肌肉痉挛患者,随机分成治疗组及对照组各18例。2组均对下肢痉挛肌群进行分点注射BTX-A,治疗组24h后给予肌电生物反馈治疗6周,采用改良Ashworth评分(MAS)、步长、步速评估2组疗效。结果:治疗组治疗6周后MAS评分、步长、步速优于对照组(P<0.05)。结论:采用彩超引导下多位点注射BTX-A结合肌电生物反馈治疗脑梗死后下肢肌肉痉挛有明显疗效。Objective： To evaluate the clinical effect of ultrasound-guided botulinum toxin type A（BTX-A） injection and muscle electricity biofeedback treatment for patients with spasticity in the lower limb muscles after cerebral infarction.Methods： Thirty-six patients with lower limb muscle Spasms after cerebral infarction were randomly divided into control group and the treatment group with 18 cases in the each group.The ultrasound-guided BTX-A injection was applied to the both groups whereas muscle electricity biofeedback treatment was performed additional to those in the treatment group after 24 hours.The outcome was assessed by modified Ashworth scale（MAS）.Results： The recovery of Muscle spasms in the electricity biofeedback treatment group was better than that in the control group.Conclusion： The ultrasound guided BTX-A injection and muscle electricity biofeedback treatment are effective for treatingt patients with lower limb muscle spasticity after cerebral infarction.

关 键 词：彩色多普勒超声 A型肉毒毒素 脑梗死 肌痉挛 肌电生物反馈 

分 类 号：R741[医药卫生—神经病学与精神病学] R741.05[医药卫生—临床医学]