ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2011, Vol. 3 ›› Issue (2): 116-118.doi: 10.3969/j.issn.1674-3865.2011.02.010

• 论著 • 上一篇    下一篇

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

申晓娜，李晓捷，孙奇峰，郭岚敏，吕智海，李海华，吕洋   

  1. 154002 黑龙江 佳木斯，佳木斯大学康复医学院（申晓娜）；佳木斯大学附属第三医院脑瘫科（李晓捷，吕智海，李海华，吕洋）；佳木斯大学儿童神经康复实验室（孙奇峰，郭岚敏）
  • 出版日期:2011-04-25 发布日期:2019-05-24
  • 通讯作者: 李晓捷，154002 黑龙江 佳木斯，佳木斯大学附属第三医院脑瘫一科。
  • 作者简介:申晓娜（1984-），女，佳木斯大学康复医学院2008级硕士研究生。研究方向：小儿脑损伤发病机制及早期防治研究。
  • 基金资助:
    国家科技支撑计划（2008BAI53B067）；黑龙江省卫生厅科研项目（2010-528）

Application of Bmode ultrasonic diagnostic equipment evaluating quadriceps femoris muscle thickness (MTQ) in rehabilitation evaluation of spastic diplegia cerebral palsy

SHEN Xiaona,LI Xiaojie,SUN Qifeng,et al.   

  1. Rehabilitation Medicine Institute of Jiamusi University，Jiamusi 154002，China
  • Online:2011-04-25 Published:2019-05-24

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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Ashworth（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。

关键词: 脑性瘫痪/康复, 股四头肌, 肌张力, 康复训练, 儿童

Abstract: ObjectiveTo 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.MethodSixty 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 rehabilitation training.Applied Modified Ashworth (MAS,) Gross Motor Function Measurement (GMFM88),Bmode ultrasonic diagnostic equipment to evaluate quadriceps femoris muscle tone,motor function and MTQ.Result1)Comparison between 1.5 months of treatment and before treatment:MAS reduced a little,GMFM88 increased a little, but there was no statistical difference (P＞0.05);but MTQ increased significantly(P＜0.05）.2）Therapy for 3 months and before therapy Comparison: MAS descended obviously （P<0.01）, GMFM88 raised obviously（P＜0.01）and MTQ raised obviously（P＜0.05）.（ 3 ）Contrast between two groups:Before therapy, MAS,GMFM88,MTQ of both groups had no obvious difference（P>0.05）. After therapy for 3 months, experimental group had more significant effect with MAS descending more predominance than that of control group（t=-2.408，P=0.019<0.05）,GMFM88 raising more patency than that of control group（t=2.778，P=0.007<0.01）and MTQ raising more patency than that of control group（t=2.310，P=0.024<0.05）（4）.The result of GMFM88 and Bmode ultrasonic diagnostic equipment had correlation(r=0.734,P＜0.01)ConclusionBmodeultrasonic diagnostic equipment evaluating MTQ can reflect muscle thickness changes ,providing an evidence for therapeutic effect of rehabilitation treatment on spastic diplegia cerebral palsy.

Key words: Cerebral palsy/rehabilitation, Quadriceps femoris muscle, Muscle tone, Rehabilitation training, children