医学研究与教育 ›› 2021, Vol. 38 ›› Issue (2): 26-31.DOI: 10.3969/j.issn.1674-490X.2021.02.005

• 临床医学 • 上一篇    下一篇

脑卒中偏瘫患者肌肉痉挛治疗的研究进展

何思佳,杨信才   

  1. 河北大学附属医院, 河北 保定 071000
  • 收稿日期:2021-02-04 出版日期:2021-04-25 发布日期:2021-04-25
  • 通讯作者: 杨信才(1965—),男,河北保定人,主任医师,硕士,硕士生导师。主要从事神经及运动系统疾病和损伤的康复治疗。E-mail: yxcyxc8866@ sina.com
  • 作者简介:何思佳(1995—),女,河北安新人,在读硕士,主要从事神经及运动系统疾病和损伤康复治疗的研究。 E-mail: 735934974@qq.com
  • 基金资助:
    河北省医学科学研究课题计划项目(20170827)

  • Received:2021-02-04 Online:2021-04-25 Published:2021-04-25

摘要: 痉挛是上运动神经元损伤导致的一种最常见的运动功能障碍,以速度依赖性肌张力增高为主要表现形式,是脑卒中偏瘫患者的主要后遗症之一。因痉挛状态的持续存在,导致的脑卒中患者关节挛缩、畸形以及关节活动度下降,使得患者的步行能力以及日常生活能力的恢复受到严重阻碍,进而降低患者的生活质量,为改善这一现状,目前临床治疗脑卒中偏瘫患者肌肉痉挛的方法有多种,现主要针对5年来脑卒中偏瘫患者肢体肌肉痉挛的诊治进展进行详细综述。

关键词: 脑卒中, 偏瘫, 痉挛, 治疗方法

Abstract: Spasticity is caused by the motor neuron damage on one of the most common movement dysfunction, the speed increased muscle tone as the main form of expression, which is one of the major complications of stroke patients with hemiplegia.Because of the persist for cramps, joint deformity caused by cerebral stroke patients, decreased activity, and body contracture, leaving patients walking ability and ability of daily life of the recovery of severely hindered, the final result is the patient's quality of life is reduced.In order to improve this situation, there are numerous clinical methods for the treatment of muscle spasm in stroke hemiplegia patients with different effects.This paper mainly reviews the developments in the diagnosis and treatment of limb muscle spasticity in stroke hemiplegia patients in recent five years in detail.

Key words: cerebral stroke, hemiplegia, spasticity, treatment

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