舒筋活络洗剂联合A型肉毒毒素注射对中风后踝跖屈肌痉挛的影响

目的:评价舒筋活络洗剂联合A型肉毒毒素注射治疗中风后踝跖屈肌痉挛的疗效。方法:将符合入选标准的29例患者随机分为治疗组(n=15例)和对照组(n=14例),治疗组采用舒筋活络洗剂联合A型肉毒毒素注射治疗,对照组只进行A型肉毒毒素注射治疗,两组均进行康复训练。在注射前、注射后2周、4周、8周采用改良Ashworth评级(MAS)、步长、步速进行相关评价。结果:治疗组在注射后4周、8周,下肢肌肉痉挛的改善程度(MAS)、步长、步速改善均优于对照组(P<0.05),注射后两组的上述功能评价均优于注射前。结论:采用舒筋活络洗剂联合A型肉毒毒素注射治疗中风后踝跖屈肌痉挛效果明显,优于只采用A型肉毒毒素注射。

Impact of Channel-Soothing Collateral-Activating Lotion plus Type A Botulinus Toxin Injection on Spasticity in Ankle-Plantar Flexors Following Apoplexy

Objectives:to evaluate therapeutic efficacy of Channel-Soothing Collateral-Activating Lotion plus Type A Botulinus Toxin Injection on spasticity in ankle-Plantar flexors following apoplexy.Methods:According to inclusion criteria,29 cases were recruited in the study and randomly grouped to be treated with the Lotion plus the Injection(treatment group,n=15)or with the Injection only(control group,n=14).Both groups took rehabilitation training.The efficacies were evaluated by Modified Ashworth Scale(MAS),stride length,walking velocity at the baseline,2-week,4-week,and 8-week after treatment.Results:The treatment group scored higher than the control group in all indices after 4 and 8 weeks(P<0.05).Both groups improved in all indices after treatment.Conclusions:Channel-Soothing Collateral-Activating Lotion plus Type A Botulinus Toxin Injection is very efficacious in treating spasticity in ankle-Plantar flexors following apoplexy,and better than Type A Botulinus Toxin Injection only.