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肉毒毒素(Botox)局部注射已成为各种肌张力障碍的首选治疗。我们用BotoxA治疗肌张力障碍性疾病262例,有效率99.23%。本组男性89例,女性173例。年龄10~71岁,平均51.2岁;病程2月~38年,平均3.6年;随访2~36月,平均21.6月。BotoxA分别稀释成25U/ml、27.5U/ml和30.5U/ml三种浓度,随机分别给病人注射,观察疗效与浓度的关系。注射前后检查EMG,以探讨2点间最佳距离。结果表明:小块肌肉和大块肌肉的最佳浓度分别是27.5U/ml和30.5U/ml;最佳距离分别是1.5cm和2cm~3cm。
Botox topical injection has become the treatment of choice for various dystonias. We use BotoxA treatment of dystonia disease in 262 cases, the effective rate of 99.23%. The group of 89 males and 173 females. Aged 10 to 71 years, mean 51.2 years; duration of February to 38 years, an average of 3.6 years; 2 to 36 months of follow-up, an average of 21.6 months. BotoxA were diluted to 25U / ml, 27.5U / ml and 30.5U / ml three concentrations, were randomly assigned to patients, to observe the relationship between efficacy and concentration. Check EMG before and after injection to explore the best distance between two points. The results showed that the best concentration of small muscle and large muscle was 27.5U / ml and 30.5U / ml respectively; the best distance was 1.5cm and 2cm ~ 3cm respectively.