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丹曲林对偏瘫患者痉挛的影响。

The effect of dantrium on spasticity of hemiplegic patients.

作者信息

Jonsson B, Ladd H, Afzelius-Frisk I, Lindberg-Broman A M

出版信息

Acta Neurol Scand. 1975 May;51(5):385-92.

PMID:1130170
Abstract

The effect of a new peripherally acting muscle relaxant drug Dantrium, on spasticity tested on 11 hemiplegic patients. The effect was evaluated both with regular clinical examination and with electromyographic technique. The latter concerned a quantitative analysis of the patients' voluntary control of fine neuromuscular activity both with and without the drug. The results indicated that spasticity was initially markedly reduced in the majority of the patients without, however, meaningfully increasing the daily-living functions of the patients. After a few months, the medication could be discontinued without any immediate increase in the spasticity. No severe side-effects were noted. In some cases, the medication had to be discontinued due to marked tiredness. Electromyographically, it was found that the ability of the patients to control fine neuromuscular activity with the paretic muscles was increased significantly with Dantrium, indicating that the reduction of the spasticity increased the ability for fine control of the muscles.

摘要

一种新型外周作用性肌肉松弛药物丹曲林对11例偏瘫患者痉挛状态的影响。通过常规临床检查和肌电图技术对其效果进行评估。后者涉及对患者在使用和不使用该药物情况下对精细神经肌肉活动的自主控制进行定量分析。结果表明,大多数患者的痉挛状态最初明显减轻,但这并未显著提高患者的日常生活功能。几个月后,可以停用该药物,且痉挛状态不会立即加重。未观察到严重的副作用。在某些情况下,由于明显疲劳不得不停用该药物。肌电图显示,使用丹曲林后,患者用患侧肌肉控制精细神经肌肉活动的能力显著增强,这表明痉挛状态的减轻增强了对肌肉的精细控制能力。

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