首次脑卒中后6 个月内肢体痉挛情况调查

目的调查首次脑卒中后6 个月患者肢体痉挛发生的情况。方法对2012 年3 月~2013 年12 月因脑卒中住院的355 例患者，应用改良Ashworth 量表(MAS)分别于发病后1 个月、3 个月、6 个月进行评定。结果痉挛发生率1 个月时是42.7%，3 个月和6 个月分别达到63.7%和65.7%。上下肢痉挛的发生率在3 个月时达到最高水平。上肢重度痉挛的发生率高于下肢。不同损伤部位及不同年龄组间痉挛发生率无显著性差异。结论脑卒中后肢体痉挛通常在3 个月内出现，上肢痉挛的发生率明显高于下肢。

Incidence of Spasticity after First Stroke within 6 Months

Objective To investigate the incidence of spasticity 6 months after first stroke. Methods 355 patients hospitalized from March 2012 to December 2013 were assessed with the modified Ashworth Scale 1 month, 3 months, and 6 months after stroke. Results The incidence of spasticity was 42.7% in the 1st month, and increased to 63.7% and 65.7% 3 and 6 months after stroke, respectively. The incidence of spasticity was the most 3 months after stroke both in arms and legs. The incidence of moderate to severe spasticity was more in the arms than in the legs. There was no significant difference at incidence of spasticity among foci and ages. Conclusion Spasticity usually occurs within 3 months after stroke, and more frequent in the upper limb than lower limb.