该指导方法是否会影响写作的肉毒素剂量?
A Kreisler1, K Watel1, L Defebvre1
1CHU de Lille, Movement Disorders Department, 59000 Lille, France.
Revue neurologique
|February 9, 2024
概括
在写作患者注射肉神经毒素 (BoNT) 时切换到超声波指导,降低了整体BoNT剂量. 超声指导也导致了更多的肌肉被准,优化治疗策略.
科学领域:
- 神经学 神经学
- 医疗治疗 医疗治疗
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 肉毒神经毒素 (BoNT) 是治疗作家的主要治疗方法.
- 长期治疗涉及频繁注射,但剂量模式和指导方法的影响尚不清楚.
研究的目的:
- 为了研究长期的肉毒神经毒素 (BoNT) 剂量和目标肌肉在作家的患者.
- 为了比较电刺激与超声指导对注射策略和临床结果的影响.
主要方法:
- 一组作家患者接受了至少三次由电刺激引导的注射周期.
- 然后,患者通过超声波引导至少接受了三次注射周期,从而可以进行直接比较.
主要成果:
- 超声指导导致了更多的肌肉被注射,特别是 flexor carpi ulnaris和 flexor carpi radialis.
- 每个肌肉的平均BoNT剂量在超声指导下较低.
- 电刺激指导显示,长期降低了手指曲器剂量,但增加了手腕曲器剂量.
结论:
- 过渡到超声指导的BoNT注射在作家的减少总体剂量,特别是在手腕曲器.
- 该研究建议为关键肌肉提供特定的起始剂量,包括曲手腕,曲手腕半径,曲手指深度和曲手腕长度.
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