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体外冲击波疗法治疗脑卒中后肌痉挛的研究进展

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脑卒中患者经过常规治疗后常伴不同程度功能障碍,其中肌痉挛是导致肢体活动障碍的主要原因之一,因此持续、安全有效控制肌痉挛对于脑卒中患者肢体功能恢复有积极作用.本文通过分析近年体外冲击波疗法治疗脑卒中后肌痉挛的文献,发现体外冲击波治疗本病效果确切,其作用机制可能与调控运动神经兴奋性、促进血管内皮一氧化氮合成等有关.然而体外冲击波治疗本病的最佳治疗间隔时间、最佳治疗参数目前尚无统一说法,临床仍需进一步研究探索,使其能够更好指导临床应用.
Research Progress on Extracorporeal Shock Wave Therapy in the Treatment of Post-stroke Muscle Spasms
After conventional treatment,stroke patients are often accompanied by different degrees of dysfunction,among which muscle spasm is one of the main causes of limb movement disorders.Therefore,continuous,safe and effective control of muscle spasm has a positive effect on the recovery of limb function in stroke patients.This article analyzes recent literature on extracorporeal shock wave therapy in the treatment of post-stroke muscle spasms and finds that extracorporeal shock wave therapy has a definite effect in the treatment of this disease.Its mechanism of action may be related to regulating motor nerve excitability and promoting endothelial nitric oxide synthesis.However,there is currently no consensus on the optimal treatment interval and optimal treatment parameters for extracorporeal shock wave therapy of this disease,and further research and exploration are needed in clinical practice to better guide its clinical application.

StrokeMuscle spasmsExtracorporeal shock wave

肖琴莉

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中江县人民医院 四川 中江 618100

脑卒中 肌痉挛 体外冲击波

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(25)