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选择性脊神经后根切断术+康复训练治疗痉挛性脑瘫的临床研究
引用本文:李如求,孟国成,盛小奇,尹彪中,杨支雄,何飞平,柴志勇,肖立新. 选择性脊神经后根切断术+康复训练治疗痉挛性脑瘫的临床研究[J]. 中国医师杂志, 2004, 6(3): 316-317
作者姓名:李如求  孟国成  盛小奇  尹彪中  杨支雄  何飞平  柴志勇  肖立新
作者单位:1. 湖南省脑科医院,湖南,长沙,410007
2. 湖南省残联康复部
基金项目:湖南省卫生厅科研课题 (2 0 0 1 -y68)
摘    要:目的探索选择性脊神经后根切断术(selective posterior Rhizotonry,SPR)和术后康复训练的方法以及两者之间的关系。方法选择痉挛性脑瘫病人100例,随机分为A、B二组,A组单纯进行SPR手术,B组进行SPR术后进行了系统康复训练,一年后按SPR术后疗效评估标准进行疗效评估,两组进行疗效比较。结果SPR术后没有系统进行康复训练组疗效52%,SPR术后经系统康复训练组,疗效76%。结论SPR术后系统康复训练十分重要,它能大大促进和改善病人的术后功能恢复。

关 键 词:选择性脊神经后根切断术 康复训练 痉挛性脑瘫 临床研究 肌张力
修稿时间:2004-01-15

linical Study on Selective Posterior Rhizotomy and Post-operative Rehabilitation Training in Treating Cerebral Palsy
LI Ru-qiu,MENG Guo-cheng,SHENG Xiao-qi,et al.. linical Study on Selective Posterior Rhizotomy and Post-operative Rehabilitation Training in Treating Cerebral Palsy[J]. Journal of Chinese Physician, 2004, 6(3): 316-317
Authors:LI Ru-qiu  MENG Guo-cheng  SHENG Xiao-qi  et al.
Affiliation:LI Ru-qiu,MENG Guo-cheng,SHENG Xiao-qi,et al. Hunan Provincial Brain Hospital,Changsha 410007,China
Abstract:Objective To explore the efficacy of selective posterior rhizotomy (SPR)and post-operative rehabilitation training in treating cerebral palsy. Methods The 100 patients with cerebral palsy were randomly divided into two groups. In group A, the patients were treated by SPR, and in group B, the patients received rehabilitation training after SPR for 12 months. One year later the curative efficacy of all patients was evaluated and compared between the two groups.Results The effective rate was 52% and 76% in groups A and B respectively. Conclusion It is very important that the patients receive systematic rehabilitation training after SPR so as to gain a most satisfied functional recovery.
Keywords:SPR  Rehabilitation training  Curative efficacy
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