CAJ | 학술논문

目的：调查首次脑卒中后6个月患者肢体痉挛发生的情况。方法对2012年3月~2013年12月因脑卒中住院的355例患者，应用改良Ashworth量表(MAS)分别于发病后1个月、3个月、6个月进行评定。结果痉挛发生率1个月时是42.7%，3个月和6个月分别达到63.7%和65.7%。上下肢痉挛的发生率在3个月时达到最高水平。上肢重度痉挛的发生率高于下肢。不同损伤部位及不同年龄组间痉挛发生率无显著性差异。结论脑卒中后肢体痉挛通常在3个月内出现，上肢痉挛的发生率明显高于下肢。
목적：조사수차뇌졸중후6개월환자지체경련발생적정황。방법대2012년3월~2013년12월인뇌졸중주원적355례환자，응용개량Ashworth량표(MAS)분별우발병후1개월、3개월、6개월진행평정。결과경련발생솔1개월시시42.7%，3개월화6개월분별체도63.7%화65.7%。상하지경련적발생솔재3개월시체도최고수평。상지중도경련적발생솔고우하지。불동손상부위급불동년령조간경련발생솔무현저성차이。결론뇌졸중후지체경련통상재3개월내출현，상지경련적발생솔명현고우하지。
Objective To investigate the incidence of spasticity 6 months after first stroke. Methods 355 patients hospitalized from March 2012 to December 2013 were assessed with the modified Ashworth Scale 1 month, 3 months, and 6 months after stroke. Results The incidence of spasticity was 42.7%in the 1st month, and increased to 63.7%and 65.7%3 and 6 months after stroke, respectively. The inci-dence of spasticity was the most 3 months after stroke both in arms and legs. The incidence of moderate to severe spasticity was more in the arms than in the legs. There was no significant difference at incidence of spasticity among foci and ages. Conclusion Spasticity usually oc-curs within 3 months after stroke, and more frequent in the upper limb than lower limb.