影响痉挛性脑瘫SPR术后行走能力的因素及其意义分析

目的：研究影响SPR术后行走功能的预后因素，为痉挛性脑瘫的治疗方案提供依据。方法：128例无独立行走能力的痉挛性脑瘫患儿术前及术后进行肌张力检查、步态评分、判定爬行能力、蹲位起立能力、双踝背伸能力及脑瘫分类，并进行统计分析。结果：爬行能力、起立能力、脑瘫类型和踝背伸能力与术后行走能力呈显著正相关，而术前肌张力水平与术后行走能力无明显相关性。结论：爬行能力、起立能力和脑瘫类型是SPR术后行走能力强有力的预后因素。功能训练对术后功能的重要意义。

Influential Factors of Walking Ability after Selective Posterior Rhizotomy (SPR) in Children with Spastic Cerebral Palsy and Their Significance

Objective:To investigate the prognostic factors of walking ability after SPR and provide basis for treatment of spastic cerebral palsy.Methods:The muscle tone,gait score,ability of creeping,standing up and ankle dorsiflexion in 128 children with spastic cerebral palsy who couldn't walk independently were examined before and after operation,and the types of paralysis were determined.These data was analysed with statistical methods.Results:The ability of creeping,standing up and ankle dorsiflexion and the types of cerebral palsy were significantly correlated with the walking ability postoperatively,the preoperative muscle tone was not correlated with the walking ability after SPR.Conclusion:The ability of creeping and standing up and the type of cerebral palsy are powerful prognosticators of postoperative walking ability.Functional training is of great importance to the postoperative walking ability.