《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (01): 67-68.

• 临床研究 • 上一篇    下一篇

在B超引导下注射A型肉毒素的疗效观察

刘臻1a; 苏清伦1a; 刘多2; 孙皓1b; 朱永刚1a; 王慧海1a   

  1. 1.江苏省连云港市第一人民医院,a.康复科;b.超声影像科,江苏连云港市 222000 2.江苏省连云港市第二人民医院泌尿外科,江苏连云港市 222023
  • 收稿日期:2007-11-11 出版日期:2008-01-01 发布日期:2008-01-01

Effect of Botulinum Toxin Type A Point Injection under Guidance of Type-B Ultrasonic

LIU Zhen, SU Qing-lun, LIU Duo, et al.   

  1. Department of Rehabilitation Medicine, First People's Hospital, Lianyungang 222000, Jiangsu, China
  • Received:2007-11-11 Published:2008-01-01 Online:2008-01-01

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摘要： 目的探讨采用B超引导下注射A型肉毒素(botulinumtoxin type A,BTX-A)治疗脑卒中偏瘫后肱二头肌痉挛的可操作性和临床疗效。方法选择18例脑卒中偏瘫后肱二头肌痉挛患者,随机分成两组:治疗组9例,采取在B超下5位点注射技术注射A型肉毒素;对照组9例,采取传统"盲打"取5点注射A型肉毒素。每点注射剂量相同。采用改良Ashworth评分观察两组疗效,记录各例患者起效时间。结果治疗组注射21d后改良Ashworth评分、药物平均起效时间均优于对照组(P<0.05)。结论采用在B超引导下5位点注射技术注射A型肉毒素治疗脑卒中偏瘫后肱二头肌痉挛,定位准确,可操作性强,临床疗效提高。

关键词: B超, 引导, 位点注射, A型肉毒素, 脑卒中, 痉挛

Abstract: Objective To investigate the feasibility and curative effect of botulinum toxin type A(BTX-A)point injection under the guidance of type-B ultrasonic on upper limb spasticity after stroke.Methods 18 cases were divided into two groups:9 cases for treatment group were treated with point injection BTX-A in 5 points with the guidance of type-B ultrasonic diagnosis,other 9 cases for control were only injected experientially.They were evaluated with the modified Ashworth scale(MAS)and the time taking effect were recorded.Results Compared with the control,the scores of MAS in the treatment group improved,and they came into effect more quickly(P<0.05).Conclusion The point injection of BTX-A under the guidance of type-B ultrasonic was practicable for and effective on upper limb spasticity after stroke.

Key words: type-B ultrasonic, guidance, point injection, botulinum toxin type A, stroke, spasticity