论文部分内容阅读
目的:探讨针刺结合国产肉毒毒素A(CBTX-A)注射治疗脑卒中后上肢痉挛状态的临床疗效。方法:将60例脑卒中痉挛期患者随机分为治疗组和对照组各30例。治疗组采用针刺结合国产肉毒毒素A(CBTX-A)局部注射,对照组只采用针刺治疗,疗程均为4周。治疗前后采用改良的Ashworth痉挛量表(MSA)和Fugl-Meyer运动功能评定量表(FMA)进行疗效评定。结果:治疗后两组患者上肢痉挛程度和运动功能均有不同程度改善,治疗组均优于对照组,具统计学差异(P<0.05)。结论:针刺结合肉毒毒素A局部注射治疗脑卒中后上肢痉挛,具有疗效确切、操作简便等特点,值得临床推广应用。
Objective: To investigate the clinical efficacy of acupuncture combined with domestic botulinum toxin A (CBTX-A) in the treatment of post-stroke upper limb spasticity. Methods: Sixty stroke patients with spasticity were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with local injection of botulinum toxin A (CBTX-A). The control group received acupuncture only for 4 weeks. The therapeutic effects were assessed using the modified Ashworth’s Spasm Scale (MSA) and the Fugl-Meyer Motor Function Rating Scale (FMA) before and after treatment. Results: The degree of spasticity and motor function of upper extremity in both groups were improved to some extent after treatment, the treatment group were better than the control group, with statistical difference (P <0.05). Conclusion: Acupuncture combined with botulinum toxin A local injection for the treatment of upper extremity spasm after stroke has the characteristics of exact curative effect and simple operation, which is worthy of clinical application.