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彩色多普勒超声引导下肉毒毒素A注射治疗脑卒中后肢体痉挛作者沈建红,欧海宁,沈嫱,崔健嫦,陈红霞【摘要】目的探讨超声引导下局部注射肉毒毒素A(BTXA)治疗脑卒中后肢体痉挛的临床价值。方法选择因中风致上肢或下肢痉挛患者15例(共20患肢),在彩色多普勒超声引导下,将BTXA准确注入到痉挛肌群。注射后佩戴抗痉挛矫形器及常规康复训练。将治疗4周后情况与治疗前进行比较。结果治疗后4周,肌肉痉挛的改善程度(MAS)、上肢运动功能(FUGLYMEYER评分)、与上肢相关的日常生活自理能力(FIM)、步长、步速均比注射前改善(P<005)。结论由于定位准确,超声引导下BTXA注射治疗脑卒中后肌痉挛安全可靠,治疗效果明显。【关键词】脑卒中;肢体痉挛;介入性超声;肉毒毒素AABSTRACTOBJECTIVETOEVALUATETHECLINICALVALUEOFULTRASOUNDGUIDEDBOTULINUMTOXINTYPEA(BTXA)INJECTIONINTREATINGEXTREMITIESSPASTICITYAFTERSTROKEMETHODS15PATIENTS(20EXTREMITIES)WITHEXTREMITYSPASTICITYAFTERSTROKEWERERECRUITEDINTHISCLINICALSTUDYGUIDEDBYCOLORDOPPLERULTRASONOGRAPHY,BTXAWASINJECTEDINTOSPASTICMUSCLESANTISPASTICITYORTHOTICDEVICESWEREUSEDANDCONVENTIONALREHABILITATIONTREATMENTSWERECONDUCTEDAFTERINJECTIONOUTCOMESWEREMEASUREDATBASELINEANDAT4WEEKFOLLOWUPRESULTSSIGNIFICANTIMPROVEMENTSWEREOBSERVEDINTHESCORESOFMODIFIEDASHWORTHSCALE,FUGLMEYERASSESSMENTUPPERLIMBSECTION,MOTORFUNCTIONALINDEPENDENCEMEASUREUPPERLIMBMOTFIMUPPERLIMB,STEPLENGTH,ANDVELOCITY4WEEKSAFTERTREATMEN