慢性意识障碍患者痉挛的治疗

Q4 Medicine
Yi Yang, Jianghong He, Ji-zong Zhao
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引用次数: 0

摘要

痉挛是一种常见于中枢神经系统损伤后的运动障碍。其发生的原因是锥体系统和锥体外神经纤维缺乏控制和重组引起的,常导致受累肌群紧张增加和反射亢进。对于脑损伤后慢性意识障碍(DoC)患者,此类症状的出现十分常见,但有效的治疗方法却鲜有报道。目前的治疗主要包括鞘内注射巴氯芬和软性夹板来解决关节挛缩。其他治疗方案仍需进一步研究,包括针灸、肉毒杆菌毒素注射和深部脑电刺激。本文总结如下。关键词:意识障碍;痉挛状态;疼痛;流行率;治疗
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Treatment of spasticity in patients with chronic disorders of consciousness
Spasticity is a kind of dyskinesia that often occurs after central nervous system injury. The reason for its occurrence is caused by lack of control and recombination of pyramidal system and extrapyramidal nerve fibers, and often leads to increased tension and hyperreflexia of affected muscle groups. For patients with chronic disorders of consciousness (DoC) after brain injury, the occurrence of such symptoms is very common, but effective treatment is rarely reported. The current treatment mainly includes intrathecal injection of baclofen and soft splint to solve joint contracture. Other therapeutic schemes still need further research, including acupuncture, botulinum toxin injection, and deep brain electrical stimulation. This article is summarized as follows. Key words: Disorders of consciousness; Spasticity; Pain; Prevalence rate; Treatment
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来源期刊
中华神经医学杂志
中华神经医学杂志 Psychology-Neuropsychology and Physiological Psychology
CiteScore
0.30
自引率
0.00%
发文量
6272
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