摘要
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。
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 treatment 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-Meyer assessment（FMA）,and Barthel Index score were adopted for the hemiplegic limbs. Results Comparison in the treatment group showed the effective rate reached 96.67%,after 4 weeks,the scores of FMA and Barthel Index improved compared to those before the treatment（ P 〈0.01）.Comparison between the two groups showed the scores of MAS,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.
出处
《中国疗养医学》
2015年第11期1126-1128,共3页
Chinese Journal of Convalescent Medicine
关键词
体外冲击波
痉挛
偏瘫
脑卒中
Extracorporeal shock wave
Spasticity
Hemiplegia
Stroke
