超声联合电刺激定位注射酒精治疗脑卒中后肘屈曲痉挛的疗效观察  

Effect of alcohol injection guided by ultrasound and electrical stimula­tion for the treatment of elbow flexor spasticity after stroke

作　　者：周蜜娟 周平辉[3] 李威 章荣 谢冰[1,2] ZHOU Mijuan;ZHOU Pinghui;LI Wei;ZHANG Rong;XIE Bing(Sichuan Vocational College of Health and Rehabilitation,Zigong Si­chuan 643000,China)

机构地区：[1]四川卫生康复职业学院,四川自贡643000 [2]四川卫生康复职业学院附属自贡市第一人民医院康复科,四川自贡643000 [3]四川卫生康复职业学院附属自贡市第一人民医院超声科,四川自贡643000

出　　处：《中国急救复苏与灾害医学杂志》2020年第6期690-693,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：四川卫生康复职业学院项目(编号:CWKY-2017-03)。

摘　　要：目的 探讨超声联合电刺激定位注射酒精治疗脑卒中后肘屈曲痉挛的临床疗效.方法 选择我科2017年6月—2019年5月住院的47例脑卒中患者,按照随机数表法分为观察组24例和对照组23例,对照组采用常规康复训练治疗,观察组在局部注射酒精后进行常规康复训练治疗.两组患者在治疗前及治疗后1周、4周和8周均采用改良Ashworth分级量表(MAS)评价肌张力.治疗前及治疗后8周均采用简式Fugl-Meyer评定量表(FMA)中上肢部分评价运动功能和改良Barthel指数(MBI)评价日常生活能力.结果 观察组患者在治疗1周和4周后MAS评分均低于对照组(P<0.01);治疗8周后两组患者MAS评分比较,差异无统计学意义(P>0.05).治疗8周后,两组患者FMA、MBI评分均较治疗前升高(P<0.01),且观察组评分更高于对照组(P<0.05).结论 超声联合电刺激定位运动点注射酒精能明显降低脑卒中后肘屈曲痉挛,提高运动功能和加强日常生活活动能力,安全可行.Objective To observe the clinical effect of alcohol injection guided by ultrasound and electrical stimulation for the treatment of elbow flexor spasticity after stroke.Methods 47 patients with stroke who were hospitalized from June 2017 to May 2019 were randomly divided into obsei-valion group(24 eases)and control group(23 cases).The pa­tients of control group were treated with routine rehabilitation.Based on control group,the patients of observation group were treated with alcohol injection.Before and 1 week,4 weeks and 8 weeks after treatment,modified Ashworth scale(MAS)was used to evaluate the muscular tension,before and 8 weeks after treatment,Fugl-Meyer motor assessment(FMA)was used to evaluate the motor function of upper Iimh,modified Barthel index(M BI)was used to evaluate the ac­tivities of daily living abilities.Results After 1 weeks and 4 weeks,the MAS score in the observation group were lower than those in the control group(P<0.01).The MAS score of two groups were compared after 8 weeks,which was not sta­tistically significant(P>0.05).After 8 weeks,the FMA,MBI score increased in both groups(P<0.01),and in lhe observa­tion group were higher than those in the control group(P<0.05).Conclusion Alcohol Motion point injection guided by ultrasound and electrical stimulation can effectively reduce elbow flexor spasticity for stroke patients,improve the mo­tor function and activities oldaily living abilities,which is safe and applicable.

关 键 词：脑卒中 超声联合电刺激 酒精 

分 类 号：R743.3[医药卫生—神经病学与精神病学]