卒中后痉挛状态的评价和治疗  

Assessment and treatment of poststroke spaslicity

作　　者：卢柳梅 田帅[2] 张圣浛[2] 

机构地区：[1]河北医科大学第三医院康复科,石家庄050051 [2]河北医科大学第三医院老年病科,石家庄050051

出　　处：《国际脑血管病杂志》2014年第7期552-558,共7页International Journal of Cerebrovascular Diseases

摘　　要：痉挛状态是卒中的一种常见并发症，可造成患者功能能力显著受限，并影响患者及其看护者的生活质量。卒中后痉挛状态（poststroke spasticity，PSS）的患病率估计为19％～42．6％。通常可采用改良Ashworth量表、改良Tardieu量表和肌电描记术评价PSS。PSS的治疗方法包括物理疗法和药物治疗，应个体化选择治疗方案。Spasticity ks a common complication of stroke. It may cause the function and ability of patients to be restricted significantly and affect the quality of life of both patients and their caregivers. The estimated prevalence of poststroke spasticity （PSS） ks 19% to 42.6%. PSS can be usually assessed by the Modified Ashworth Scale, Modified Tardieu Scale, and electromyography. Therapeutic methods of PSS include physical therapy and drug treatment. The treatment options should be individualized.

关 键 词：卒中 肌痉挛状态 物理治疗方法 肉毒杆菌毒素类 神经肌肉药 

分 类 号：R743.3[医药卫生—神经病学与精神病学]