卒中后肢体痉挛治疗的研究进展

doi:10.3969/j.issn.1673-5765.2020.07.005

摘要/Abstract

摘要：

痉挛是卒中后常见的并发症之一，严重的肢体痉挛不仅会导致关节活动度的受限、灵活性和姿势的异常，还可引起不可逆的关节挛缩、肢体功能丧失及残疾，极大地影响着患者的生活质量，并增加照护者的负担。目前对卒中后肢体痉挛的治疗方案仍未达成共识。近年来，痉挛治疗的药物和非药物研究也有了一定的进展，尤其是非药物治疗手段，如采用非侵入性经颅或外周电、磁刺激技术以及基于肌动图和肌电图的多源信息采集整合分析技术等新型康复治疗手段，在痉挛治疗过程中表现出更加精准、有效以及可重复性高等优点。现就卒中后肢体痉挛治疗的研究进展进行综述。

文章导读： 肢体痉挛是卒中后常见的并发症，但目前临床上仍缺乏有效的痉挛治疗手段，本文对药物及非药物的痉挛治疗手段进行综述，为临床痉挛的诊断治疗提供一定的参考。

关键词: 卒中; 痉挛; 肉毒毒素; 经颅磁刺激; 经颅直流电刺激

Abstract:

Spasticity is one of the most common complications after stroke. Severe limb spasticity not only causes limited range of motion, immobility and abnormal posture, but also leads to irreversible joint contracture, resulting in loss of limb function and disability, which greatly influences the quality of life of patients and increases the burden on caregivers. At present, there is still no consensus on the treatment of post-stroke spasticity. However, in recent years, there has been some progress in the research on the intervention of post-stroke spasticity with pharmacological and non-pharmacological way, especially for non-pharmacological treatment, such as transcranial magnetic stimulation, transcranial electrical stimulation, and novel rehabilitation treatment based on integrated analysis of multi-source information combined with electromyography and mechanomyography, and these approaches are more accurate, effective and highly repeatable. Hence, we summarized the advances in the treatment of limb spasticity after stroke.

Key words: Stroke; Spasticity; Botulinum toxin; Transcranial magnetic stimulation;Transcranial direct currency stimulation

陈莉琳，黄牡丹，郑海清. 卒中后肢体痉挛治疗的研究进展[J]. 中国卒中杂志, 2020, 15(07): 720-727.

CHEN Li-Lin, HUANG Mu-Dan, ZHENG Hai-Qing. Advances in the Treatment of Limb Spasticity after Stroke[J]. Chinese Journal of Stroke, 2020, 15(07): 720-727.

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