放散式体外冲击波治疗脑卒中后肌痉挛  

Research Progress of Radial Extracorporeal Shock Wave Therapy for Post-Stroke Spasticity

作　　者：吴宗倩 白定群[1] WU Zongqian;BAI Dingqun(The First Affiliated Hospital of Chongqing Medical University,Chongqing 400042,China;Mianyang 404 Hospital,Mianyang,Sichuan 621000,China)

机构地区：[1]重庆医科大学附属第一医院,重庆400042 [2]绵阳四〇四医院,四川绵阳621000

出　　处：《康复学报》2025年第1期91-95,共5页Rehabilitation Medicine

基　　金：重庆市卫生计生委医学科研项目(2017ZDXM005)。

摘　　要：脑卒中患者常见的并发症之一是肌痉挛,这不仅严重影响患者的运动能力,还可能导致感觉障碍、持续性疼痛、肌肉僵硬、关节活动范围减少和敏感性下降,患者行动困难,增加跌倒风险,降低患者生活质量。肌痉挛还可能导致患者感到挫败和沮丧,进而引发抑郁和焦虑等心理问题,进一步影响康复治疗的效果和进度。所以,安全有效的抗痉挛治疗对提高患者生活质量有一定的积极作用。临床上,针对脑卒中后肌痉挛的治疗方法多样,常用的治疗手段包括物理治疗、药物治疗和手术干预等。近年来,体外冲击波治疗因其良好的疗效及无创性等优势逐渐被应用到肌痉挛的治疗中。本文通过对近年来体外冲击波治疗脑卒中后肌痉挛的相关文献进行梳理,对其治疗机制、疗效及未来发展趋势展开综述。One of the common complications in stroke patients is muscle spasticity,which not only seriously affects the patient's motor ability,but can also may lead to sensory disturbance,persistent pain,muscle stiffness,reduced range of motion of the joints,and decreased sensitivity.This can cause patients to have mobility difficulty,increase the risk of falls,and reduce their quality of life.Muscle spasticity can also cause patients to feel frustrated and depressed,which can lead to psychological problems such as depression and anxiety,further affecting the effectiveness and progress of rehabilitation treatment.Therefore,safe and effective antispasticity therapy can have a positive effect on improving the quality of life of patients.Clinically,there are various treatment methods for muscle spasticity after stroke,including physical therapy,drug therapy and surgical intervention.In recent years,extracorporeal shock wave therapy has been gradually applied to the treatment of muscle spasticity because of its good therapeutic effect and non-invasive advantages.This article reviews the related literature on shock wave therapy for post-stroke spasticity in recent years and summarizes its therapeutic mechanism,therapeutic effect and future development trends.

关 键 词：脑卒中后肌痉挛 放散式体外冲击波治疗 脑卒中后康复 物理治疗 运动功能障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]