《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (09): 883-884.

• 论文 • 上一篇    下一篇

外周神经电刺激引导下A型肉毒毒素注射在痉挛型脑性瘫痪中的应用

邵银进，吴桂华，曾康华   

  1. 赣州市人民医院康复医学科，江西赣州市341000。
  • 收稿日期:2012-12-17 修回日期:2013-03-03 出版日期:2013-09-25 发布日期:2013-09-25

Injection of Botulinum Toxin Type A Guided by Peripheral Nerve Stimulation for Spastic Cerebral Palsy

SHAO Yin-jin, WU Gui-hua, ZENG Kang-hua.   

  1. Department of Rehabilitation Medicine, Ganzhou People's Hospital, Ganzhou 341000, Jiangxi, China
  • Received:2012-12-17 Revised:2013-03-03 Published:2013-09-25 Online:2013-09-25

PDF (PC)

摘要： 目的探讨在外周神经电刺激引导下A型肉毒毒素(BTX-A)局部注射治疗痉挛型脑瘫的疗效。方法共选取30 例痉挛型脑瘫患儿，在外周神经电刺激引导下采用BTX-A局部多点注射，于治疗前、后采用改良Ashworth 量表(MAS)和粗大运动功能评定量表(GMFM-88)进行评定。结果BTX-A注射1 周后，MAS 评分显著降低，并维持至6 个月时(P<0.001)。与治疗前相比，注射1 周后，GMFM-88 评分无显著性差异(P>0.05)，3 个月和6 个月时显著增加(P<0.001)。结论外周神经电刺激引导下BTX-A局部多点注射治疗痉挛型脑瘫疗效显著。

关键词: 脑性瘫痪, 痉挛, A型肉毒毒素, 外周神经电刺激

Abstract: Objective To investigate the Scale (GMFM-88) before and 1 week, 3 months and 6 months after treatment. Results The scores of MAS decreased significantly 1 week, 3 months and 6 months after treatment (P<0.001). The scores of GMFM-88 increased 3 months and 6 months after treatment (P<0.001). Conclusion Injection of BTX-A guided by peripheral nerve stimulation is effective on spastic cerebral palsy.

Key words: cerebral palsy, spasticity, Botulinum toxin type A, peripheral nerve stimulation