| B超评定股四头肌厚度在痉挛型双瘫脑性瘫痪患儿康复评价中的作用 |
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| 引用本文： | 申晓娜,李晓捷,孙奇峰,郭岚敏,吕智海,李海华,吕洋. B超评定股四头肌厚度在痉挛型双瘫脑性瘫痪患儿康复评价中的作用[J]. 中国医学文摘(儿科学), 2011, 0(2) |
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| 作者姓名： | 申晓娜 李晓捷 孙奇峰 郭岚敏 吕智海 李海华 吕洋 |
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| 作者单位： | 佳木斯大学康复医学院;佳木斯大学附属第三医院脑瘫一科;佳木斯大学儿童神经康复实验室;佳木斯大学附属第三医院脑瘫科; |
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| 基金项目： | 国家科技支撑计划(2008BAI53B067); 黑龙江省卫生厅科研项目(2010-528) |
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| 摘 要： | 目的探讨B超评定股四头肌厚度在痉挛型双瘫脑性瘫痪(简称脑瘫)患儿康复疗效评价中的作用,为康复疗效评定提供一种新的方法。方法选取60例痉挛型双瘫脑瘫患儿,随机分为两组:观察组30例进行中药熏洗联合常规康复训练治疗;对照组30例仅进行常规康复训练治疗。应用改良Ash-worth(MAS)、粗大运动功能评定量表(GMFM-88)、B超评定股四头肌肌张力、粗大运动功能、股四头肌厚度(MTQ)。结果 (1)治疗1.5个月与治疗前比较:MAS分值略有降低,GMFM-88分值略有增加,差异均无统计学意义(P>0.05);而MTQ值明显增加,差异有统计学意义(P<0.05)。(2)治疗3个月与治疗前比较:MAS分值明显降低(P<0.01);GMFM-88分值明显增加(P<0.01);MTQ值明显增加(P<0.05)。(3)观察组治疗前、治疗1.5个月、治疗3个月后MTQ值与GMFM-88分值有相关性(r=0.734,P<0.01)。结论 B超可以通过反映局部肌肉厚度的变化,为脑瘫患儿康复疗效评价提供客观依据。
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| 关 键 词： | 脑性瘫痪/康复 股四头肌 肌张力 康复训练 儿童 |
Application of B-mode ultrasonic diagnostic equipment evaluating quadriceps femoris muscle thickness (MTQ) in rehabilitation evaluation of spastic diplegia cerebral palsy children |
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| SHEN Xiao-na,LI Xiao-jie,SUN Qi-feng,et al.. Application of B-mode ultrasonic diagnostic equipment evaluating quadriceps femoris muscle thickness (MTQ) in rehabilitation evaluation of spastic diplegia cerebral palsy children[J]. Chinese Medical Digest(Pediatrics), 2011, 0(2) |
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| Authors: | SHEN Xiao-na LI Xiao-jie SUN Qi-feng et al. |
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| Affiliation: | SHEN Xiao-na,LI Xiao-jie,SUN Qi-feng,et al.Rehabilitation Medicine Institute of Jiamusi University,Jiamusi 154002,China |
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| Abstract: | Objective To explore the application of B-mode ultrasonic diagnostic equipment evaluating MTQ in rehabilitation evaluation of spastic diplegia cerebral palsy children,providing a new method for effect assessment of rehabilitation treatment.Method Sixty children with spastic diplegia cerebral palsy were selected and divided into two groups.Experimental group,30 cases were treated with Traditional Chinese Drug Fumigation Bath and rehabilitation training.In control group,30 cases were treated only with rehabil... |
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| Keywords: | Cerebral palsy/rehabilitation Quadriceps femoris muscle Muscle tone Rehabilitation training children |
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