CAJ | 학술논문

目的研究A型肉毒毒素治疗脑卒中恢复期下肢痉挛的效果.方法将109例脑卒中恢复期患者随机分为治疗组和对照组,两组除予以常规治疗和康复训练外,治疗组对痉挛肌肉加用A型肉毒毒素注射.用改良Ashworth痉挛量表(MAS)、Fugl-Meyer运动功能评定量表(FMA)、Berg平衡量表(BBS)于治疗前,治疗4周、12周后进行评价.结果治疗后各时间点,治疗组MAS、FMA、BBS评分均较对照组改善(P<0.05).结论局部A型肉毒毒素注射配合系统的康复训练能明显改善痉挛性下肢瘫痪的肌肉痉挛、运动功能和平衡能力.
목적연구A형육독독소치료뇌졸중회복기하지경련적효과.방법장109례뇌졸중회복기환자수궤분위치료조화대조조,량조제여이상규치료화강복훈련외,치료조대경련기육가용A형육독독소주사.용개량Ashworth경련량표(MAS)、Fugl-Meyer운동공능평정량표(FMA)、Berg평형량표(BBS)우치료전,치료4주、12주후진행평개.결과치료후각시간점,치료조MAS、FMA、BBS평분균교대조조개선(P<0.05).결론국부A형육독독소주사배합계통적강복훈련능명현개선경련성하지탄탄적기육경련、운동공능화평형능력.
Objective To study the effect of Botulinum toxin type A (BTX-A) on lower limbs spasticity after stroke. Methods 109 con-valescent patients after stroke were randomly divided into treatment group and the control group. All the patients accepted routine treatment and rehabilitation, the treatment group accepted BTX-A injected in spastic muscles in addition. They were assessed with Fugl-Meyer assess-ment (FMA), modified Ashworth scale (MAS), Berg Balance Scale (BBS) before, 4 weeks and 12 weeks after treatment. Results The scores of MAS, BBS and FMA improved more in the treatment group than in the control group (P<0.05) after treatment. Conclusion Combination of local BTX-A injection can significantly release the lower limbs spasticity, and improve the motor and balance ability for patients after stroke.