平衡针刺法联合肉毒毒素注射治疗脑外伤后上肢肌痉挛

摘要

Objective To study the clinical study of botulinum toxin A (BTXA) injection combined with balance acupuncture in the treatment of upper limb muscle spasm after brain trauma. Methods 72 cases of upper limb muscle spasm after brain trauma were randomly divided into observation group and reference group. Two groups were given conventional treatment and routine physical therapy. Balanced acupuncture method for injection of botulinum toxin A in observation group. The control group was treated with the common acupuncture method. Compared with 2 weeks before and after injection, 6 weeks, 3 months of modified Ashworth scale (MAS), Fugl-Meyer Assessment (FMA), Barthel index evaluation. Results After 2 weeks, 6 weeks, 3 months, the observation group and the control group were compared with each other, the difference was significant (P<0.05), After 2 weeks, 6 weeks, the difference between the observation group and the treatment group is very significant (P<0.01). Conclusion The botulinum toxin A treatment combined with balanced acupuncture can relieve the upper limb muscle spasm of patients with brain trauma and actively cooperate with the routine physical therapy, which can effectively improve the limb motor function and daily life ability, which can be applied in rehabilitation .%目的 研究肉毒毒素(BTXA)注射联合平衡针刺法治疗脑外伤后上肢肌痉挛的临床研究.方法 选择72例脑外伤后上肢肌痉挛患者,随机分为观察组和对照组.2组均予常规治疗及肢体康复训练.观察组注射肉毒毒素加用平衡针刺法,对照组予普通针刺法.比较注射前和注射后2周、6周、3个月的改良Ashworth肌痉挛量表(MAS)、Fugl-Meyer运动功能评测(FMA)、Barthel指数评定情况.结果 治疗后2周、6周、3个月观察组与对照组各评定结果比较差异有具统计学意义(P<0.05),治疗后2周、6周、3个月观察组与治疗前比较差异有统计学意义(P<0.01).结论 肉毒毒素注射联合平衡针刺法可缓解脑外伤患者上肢肌痉挛,积极配合系统康复训练,可有效改善肢体运动功能和日常生活能力.