摘要
目的探讨A型肉毒毒素结合新Bobath技术对脑卒中后偏瘫肢体痉挛患者的临床疗效。方法选取我院2021年1月—2023年1月收治的65例脑卒中偏瘫肢体痉挛患者为研究对象,通过随机数字表法将其分为对照组和观察组。对照组(n=32)采用A型肉毒毒素治疗,观察组(n=33)采用A型肉毒毒素结合新Bobath技术治疗。比较两组患者治疗前后的痉挛程度、肢体运动能力及生活自理能力。结果干预前,两组临床痉挛指数(CSI)、Fugl-Meyer运动功能评定量表(FMA)评分及生活自理能力量表(ADL)评分比较,组间差异无统计学意义(P>0.05)。干预后,观察组CSI评分为(8.04±1.03)分,低于对照组的(9.76±1.18)分,差异有统计学意义(P<0.05)。干预后,观察组FMA、ADL评分分别为(70.34±11.32)分、(57.05±12.64)分,均高于对照组的(64.59±10.06)分、(48.36±11.49)分,组间差异有统计学意义(P<0.05)。结论A型肉毒毒素结合新Bobath技术治疗脑卒中后偏瘫肢体痉挛患者可改善患者的神经功能,提高运动能力及自理能力。
Objective To explore the clinical efficacy of botulinum toxin type A combined with the new Bobath technique in treating hemiplegic limb spasms after stroke.Methods 65 Stroke patients with hemiplegia and limb spasms admitted to the hospital from January 2022 to January 2023 were selected as the research subjects and divided into a control group and an observation group using a random number table method.The control group(n=32)was treated with type A botulinum toxin,while the observation group(n=33)was treated with type A botulinum toxin combined with the new Bobath technique.Compare the degree of neurological impairment,limb motor ability,and self-care ability of two groups of patients before and after treatment.Results Before intervention,there was no statistically significant difference in the clinical spasticity index(CSI),Fugl Meyer motor Assessment(FMA)scores,and Activities of Daily Living(ADL)scores between the two groups(P>0.05).The CSI score of the observation group after intervention was(8.04±1.03)points,which was lower than the control group's(9.76±1.18)points,the difference was statistically significant(P<0.05).The FMA and ADL scores of the observation group after intervention were(70.34±11.32)points and(57.05±12.64)points,respectively,which were higher than(64.59±10.06)points and(48.36±11.49)points of the control group,the differences were statistically significant(P<0.05).Conclusion The combination of type A botulinum toxin and new Bobath technology can improve neurological function,limb motor ability,and self-care ability in patients with hemiplegic limb spasms after stroke.
作者
唐芯
叶峰
魏宇
张露
TANG Xin;YE Feng;WEI Yu;ZHANG Lu(Department of Rehabilitation,Tongliang District People's Hospital of Chongqing,Chongqing,402560,China)
出处
《反射疗法与康复医学》
2023年第17期125-127,135,共4页
Reflexology And Rehabilitation Medicine
基金
重庆市铜梁区2022年科技计划项目(2022111)。
