局部注射臭氧水联合利多卡因对偏瘫患者上肢痉挛的疗效观察

Observation on the Therapeutic Effect of Local Injection of Ozone Water Combined with Lidocaine on Upper Limb Spasms in Hemiplegic Patients

目的研究局部注射臭氧水联合利多卡因对偏瘫患者上肢痉挛的疗效。方法选取2022年10月—2023年12月于该院就诊的100例偏瘫患者为研究对象,采用随机数字表法将其分为观察组和对照组,各50例。对照组接受患侧肱二头肌牵伸,观察组在对照组基础上接受患侧肱二头肌肌腹进行臭氧水联合利多卡因的注射,两组均接受常规上肢功能训练、日常生活活动训练及针灸干预。对比两的组偏瘫症状缓解速度、干预前后Ashworth痉挛量表(MAS)评分、干预前后改良Barthel指数评定量表(MBI)评分及疗效。结果干预1个月后,观察组MAS分级低于对照组,MBI评分高于对照组,组间差异有统计学意义(P<0.05)。观察组上肢痉挛症状缓解时间为(6.25±1.58)个月,短于对照组的(7.24±2.05)个月,差异有统计学意义(P<0.05)。观察组治疗总有效率为68.00%,高于对照组的40.00%,差异有统计学意义(P<0.05)。结论局部注射臭氧水联合利多卡因能够在改善偏瘫患者上肢痉挛程度的同时,提高患者生活自理能力,增强总体疗效。

Objective To study the therapeutic effect of local injection of ozone water and lidocaine on upper limb spasms in hemiplegic patients.Methods One hundred hemiplegic patients who visited the hospital from October 2022 to Dcember 2023 were selected as the research subjects.The selected subjects were randomly divided into an observation group and a control group using a random number table method,with 50 cases in each group.The control group received the biceps brachii extension of the affected side,and the observation group received the injection of ozone water and lidocaine into the biceps brachii muscle abdomen of the affected side on the basis of the control group.Both groups received routine upper limb function training,activities of daily living training and acupuncture and moxibustion intervention.Compare the speed of symptom relief in two groups of hemiplegia,the Modified Ashworth Scale(MAS)score before and after intervention,and the Modified Barthel Index(MBI)score and efficacy before and after intervention.Results After one month of intervention,the MAS grade of the observation group was lower than that of the control group,and the MBI score was higher than that of the control group,with statistically significant differences between the groups(P<0.05).The relief time of upper limb spasms in the observation group was(6.25±1.58)months,which was shorter than(7.24±2.05)months in the control group,and the difference was statistically significant(P<0.05).The total effective rate of the observation group was 68.00%,which was higher than the control group's 40.00%,and the difference was statistically significant(P<0.05).Conclusion Local injection of ozone water and lidocaine can improve the degree of upper limb spasms in hemiplegic patients,enhance their self-care ability,and enhance overall efficacy.