【摘要】 目的:观察伸筋丸联合康复训练治疗脊髓损伤下肢痉挛患者的临床疗效。方法:将60例脊髓损伤后下肢痉挛患者随机分为伸筋丸组和对照组,每组各30例。两组均进行综合康复训练伸筋丸组加用伸筋丸口服治疗,两组疗程均为8周。两组于治疗前和治疗后分别采用改良Ashworth分级法(MAS)、肢表面肌电图均方根值(RMS)作为评定肌张力指标,采用实时剪切波超声弹性成像技术评估腓肠肌硬度的改变,测量其杨氏模量值(Young’S modulus)。结果:经过8周的治疗后,两组的MAS、RMS、Young’S modulus数据与治疗前比较均得到明显改善(P<0.05),且伸筋丸组优于对照组(P<0.05)。结论:伸筋丸结合综合康复训练能有效缓解脊髓损伤后下肢痉挛,有利于改善患肢体运动功能和提高患者日常生活活动能力。更多还原

【Abstract】 Objective To observe the clinical effect of Shenjin Pill for spinal cord injury lower limb spasticity.Methods 60 patients were divided into Shenjin Pill group and control group randomly,30 patients per group.The patients of two groups were treated with rehabilitation training,The Shenjin Pill group received additional Shenjin Pill treatment,Both groups were treated for 8 weeks.Modified Ashworth Scale(MAS) and the root mean square(RMS) of surface electromyography were collected to evaluate the muscle tension.Real-time shear wave ultrasound elastography was used to evaluate the changes in the hardness of the gastrocnemius muscle and to measure its young’s modulus.Results After 8 weeks of treatment,there were significantly improved in MAS,RMS and Young’S modulus of the two groups(P<0.05),and the Shenjin Pill group was better than that of the control group(P<0.05).Conclusion Shenjin Pill combining with rehabilitation training can effectively alleviate lower limb Spasticity of spinal cord injury patients,which is helpful to improve motor function on the affected limb as well as improve the activities of daily life in patients.更多还原