CAJ | 학술논문

目的：观察体外冲击波配合运动疗法治疗脑卒中后偏瘫肢体痉挛的治疗效果。方法将符合标准的60例患者随机分成治疗组和对照组，每组30例。对照组进行运动疗法治疗；治疗组在运动疗法的基础上加用体外冲击波治疗( ESWT )，1次/周，共4周。ESWT前和治疗4周后，应用改良Ashworth量表( MAS )和简化Fugl-Meyer运动功能评分法( FMA )、Barthel指数评分对偏瘫肢体进行评定。结果治疗组组内比较：有效率达到96.67%，4周后FMA、Barthel指数评分均较治疗前提高(P＜0.01)；组间比较：治疗组MAS、FMA、Barthel指数评分均优于对照组(P＜0.05)，治疗组均无不良反应发生。结论 ESWT配合运动疗法治疗脑卒中后偏瘫患者肢体痉挛具有一定的疗效，且安全无副作用。
목적：관찰체외충격파배합운동요법치료뇌졸중후편탄지체경련적치료효과。방법장부합표준적60례환자수궤분성치료조화대조조，매조30례。대조조진행운동요법치료；치료조재운동요법적기출상가용체외충격파치료( ESWT )，1차/주，공4주。ESWT전화치료4주후，응용개량Ashworth량표( MAS )화간화Fugl-Meyer운동공능평분법( FMA )、Barthel지수평분대편탄지체진행평정。결과치료조조내비교：유효솔체도96.67%，4주후FMA、Barthel지수평분균교치료전제고(P＜0.01)；조간비교：치료조MAS、FMA、Barthel지수평분균우우대조조(P＜0.05)，치료조균무불량반응발생。결론 ESWT배합운동요법치료뇌졸중후편탄환자지체경련구유일정적료효，차안전무부작용。
Objective To observe the treatment effect of extracorporeal shock wave with exercise therapy to treat post-stroke hemiplegic limb spasticity.Methods 60 patients meeting the standards were randomly divided into treat-ment group and control group with 30 cases in each group .The control group were given exercise therapy while the treatment group were given extracorporeal shock wave therapy (ESWT) on the basis of exercise therapy,once a week for 4 weeks.Before ESWT and after 4 weeks of treatment,modified Ashworth Scale(MAS),simplified Fugl-Meyeras-sessment(FMA),and B arthel Index score were adopted for the hemiplegic limbs.Results C omparison in the treatment group showed the effective rate reached 96.67% ,after 4 weeks,the scores of FM A and B arthel Index improved com-paredtothosebeforethetreatment(P<0.01).ComparisonbetweenthetwogroupsshowedthescoresofMAS,FMA, Barthel Index in the treatment group were superior to those in the control group (P<0 .05 ),and there were not adverse reactions in the treatment group.Conclusion ESWT combined with exercise therapy to treat post-stroke hemiplegic limb spasticity has a certain curative effect with safety and no side effect.