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A型肉毒杆菌毒素注射小腿塑形术后的辅助康复训练可减少不良反应并提高满意度。

Auxiliary rehabilitation training after calf contouring with botulinum toxin type A injection reduces adverse reactions and improves satisfaction.

作者信息

Wu Yanqun, Shi Liying, Lan Jianzhen, Li Youjin, Liu Fei, Wang Sunjuan, Sun Zhongsheng

机构信息

Plastic Surgery Laser Center, Guangdong Second People's Hospital Guangzhou 510317, Guangdong, China.

出版信息

Am J Transl Res. 2023 Jul 15;15(7):4962-4969. eCollection 2023.

PMID:37560233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10408528/
Abstract

PURPOSE

To analyze the effect of adjuvant rehabilitation training after calf contouring with botulinum toxin type A (BTX-A) injection.

METHODS

Clinical data of 48 female beauty seekers who underwent calf contouring at the Plastic Surgery Laser Center of Guangdong Second People's Hospital from January 2021 to June 2022 were retrospectively analyzed. Among them, 24 cases received routine care from January 2021 to December 2021 and were included in a control group, and 24 cases received rehabilitation care with auxiliary rehabilitation training from January 2022 to June 2022 that were in an observation group. The subjects were followed up for 24 weeks to observe the curative effect, and the injection efficacy was compared between the two groups. The maximum calf circumference (MCC) and gastrocnemius muscle thickness (GMT) were comparatively analyzed before and 2, 4, 12, and 24 weeks after treatment. The incidence of adverse reactions and satisfaction rate were also compared.

RESULTS

Both groups showed reduced calf circumferences after injection, with soft and uniform calf curves. No inter-group statistical significance was identified in terms of curative effects. Reduced MCC and GMT were observed in both groups at 2, 4, 12, and 24 weeks after treatment, with lower values in the observation group than in the control group at week 2, 4, and 12. The observation group also showed markedly fewer adverse reactions and higher satisfaction rate than the control group.

CONCLUSIONS

BTX-A injection is effective in calf contouring and can significantly reduce the MCC and GMT. In addition, post-injection rehabilitation training can significantly reduce the occurrence of adverse reactions and improve patient satisfaction.

摘要

目的

分析A型肉毒毒素(BTX-A)注射小腿塑形术后辅助康复训练的效果。

方法

回顾性分析2021年1月至2022年6月在广东省第二人民医院整形美容激光中心接受小腿塑形的48例女性求美患者的临床资料。其中,2021年1月至12月的24例接受常规护理,纳入对照组;2022年1月至6月的24例接受辅助康复训练的康复护理,纳入观察组。对受试者进行24周随访,观察疗效,并比较两组的注射效果。比较治疗前及治疗后2、4、12和24周的最大小腿围(MCC)和腓肠肌厚度(GMT)。同时比较不良反应发生率和满意率。

结果

两组注射后小腿围均减小,小腿曲线柔软均匀。两组疗效差异无统计学意义。两组在治疗后2、4、12和24周时MCC和GMT均降低,观察组在第2、4和12周时的值低于对照组。观察组的不良反应也明显少于对照组,满意率高于对照组。

结论

BTX-A注射用于小腿塑形有效,可显著降低MCC和GMT。此外,注射后康复训练可显著减少不良反应的发生,提高患者满意度。

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J Cosmet Dermatol. 2022 Oct;21(10):4301-4306. doi: 10.1111/jocd.15279. Epub 2022 Sep 2.
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Single Incision Endoscope-Assisted Gastrocnemius Muscle Resection for Calf Hypertrophy: Analysis of 300 Cases.单切口内窥镜辅助腓肠肌切除术治疗小腿肥大:300 例分析。
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Overview of DaxibotulinumtoxinA for Injection: A Novel Formulation of Botulinum Toxin Type A.注射用达西布特鲁毒素 A 概述:一种新型的 A 型肉毒毒素制剂。
Drugs. 2021 Dec;81(18):2091-2101. doi: 10.1007/s40265-021-01631-w. Epub 2021 Nov 17.
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Scientific review of the aesthetic uses of botulinum toxin type A.A型肉毒杆菌毒素美学用途的科学综述。
Arch Craniofac Surg. 2021 Feb;22(1):1-10. doi: 10.7181/acfs.2021.00003. Epub 2021 Feb 20.
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Botulinum toxin type A therapy for cervical dystonia.A型肉毒毒素治疗颈部肌张力障碍。
Cochrane Database Syst Rev. 2020 Nov 12;11(11):CD003633. doi: 10.1002/14651858.CD003633.pub4.
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Aesthetic Plast Surg. 2020 Dec;44(6):2270-2276. doi: 10.1007/s00266-020-01916-7. Epub 2020 Aug 19.
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Plast Reconstr Surg. 2019 Sep;144(3):390e-396e. doi: 10.1097/PRS.0000000000005944.
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