解痉合剂结合运动治疗改善脑卒中后肌痉挛及表面肌电图分析  

Effects of Jiejing Mixture Combined with Rehabilitation Exercises on Spasticity after Apoplectic Hempa ralysis and the Corresponding Surface Electromyography Alterations

作　　者：朱文宗[1] 金永喜[1] 黄建平[1] 章国伟[1] 吴红专[1] 沈剑刚[2] 

机构地区：[1]浙江中医药大学附属温州中医院康复中心,温州325000 [2]香港大学医学院

出　　处：《浙江中西医结合杂志》2013年第2期84-87,共4页Zhejiang Journal of Integrated Traditional Chinese and Western Medicine

基　　金：浙江省医药卫生科技计划项目(No:2010QNA020)

摘　　要：目的:研究中药解痉合剂结合运动疗法治疗脑卒中偏瘫后痉挛的临床疗效及作用机制。方法:将60例脑卒中偏瘫后肌痉挛患者随机分为对照组30例,进行运动治疗;治疗组30例,加用解痉合剂治疗;通过Ashworth、CSS、FMA和ADL等方法评价上下肢功能或日常生活能力恢复情况,采用表面肌电图测定上下肢的张力。结果:与对照组相比,治疗组上下肢肌张力显著降低(χ2=11.072或10.693,P<0.05),上下肢功能明显改善(χ2=7.052或6.916,P<0.05),日常生活能力提高(χ2=7.527,P<0.05);减少上下肢肌的IEMG(χ2=12.526,P<0.05)的同时显著降低RMS(χ2=19.452,P<0.01)。结论:解痉合剂可以改善脑卒中偏瘫后肌痉挛,其机制与其降低肌张力有关。Objective： To investigate the effect of Jiejing Mixture combined with rehabilitation exercises on spas- ticity Mter apoplectic hemiparalysis. Methods： Patients with spasticity after apoplectic hemparalysis were random- ly assigned to conventional rehabilitation exercise group and Jiejing Mixture combined with rehabilitation exercise group （n=30 in each group）. Ashworth, CSS, and FMA assessments were used to scale muscular tension and func- tion and ADL was used to assess daily life skills. Surface electromyography index,integrate electromyography （IEMG） and root mean square （RMS）, were used to detect the tension of upper limbs and legs. Results： Jiejing Mixture significantly decreased muscular tension （X^2=11.072 or 10.693, P〈 0.05）and their function （X^2=7.052 or 6.916,P 〈 0.05）and improved patients＇ daily life skills（X^2=7.527,P 〈 0.05）.Both IEMG（X^2=12.526,P 〈 0.05）and RMS （X^2=19.452,P〈 0.01）of patients treated by Jiejing Mixture also decreased. Conclusions： Jiejing Mixture decreased the muscular tension of patients with spastieity after apoplectic hemparalysis.

关 键 词：脑卒中 偏瘫 肌痉挛 解痉合剂 肌电积分值 肌电均方根 运动疗法 

分 类 号：R743.3[医药卫生—神经病学与精神病学]