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 ›› 2016, Vol. 8 ›› Issue (1): 88-90.doi: 10.3969/j.issn.1674-3865.2016.01.032

• 临床研究 • 上一篇    下一篇

学龄期脑性瘫痪儿童髋关节发育与髋周肌肉状况的相关性分析

许晶莉，黄少昂，叶长青，范艳萍，蔡璐璐   

  1. 510630 广州，广州康复实验学校儿童康复科(许晶莉，黄少昂，叶长青，蔡璐璐)；154003 黑龙江 佳木斯，佳木斯大学附属第三医院物理治疗科(范艳萍)
  • 出版日期:2016-02-25 上线日期:2018-11-19
  • 通讯作者: 范艳萍，Email:fanyanping66@163.com
  • 作者简介:许晶莉(1977-)，女，医学博士，主治医师。研究方向：脑性瘫痪的临床研究

Correlation between development of hip joint and the ambient muscle tone in schoolage children with cerebral palsy

XU Jingli，HUANG Shaoang，YE Changqing，FAN Yanping，CAI Lulu   

  1. Guangzhou Rehabilitation Experimental School，Guangzhou 510630，China.
  • Published:2016-02-25 Online:2018-11-19

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摘要： 目的：探讨学龄期脑性瘫痪(简称脑瘫)儿童髋关节发育与髋周肌肉状况的关系。
方法2015年4月至6月在广州康复实验学校进行康复训练的脑瘫患儿56例，其中痉挛型41例，不随意运动型9例，共济失调型4例，混合型2例；双瘫37例，四肢瘫16例，偏瘫3例。对全部患儿进行髋关节X线片检查，评定股骨头外移百分比(MP值)，并且评定髋关节屈曲、内收、内旋肌肌张力、髋关节伸展、外展、外旋肌肌力。
结果：56例脑瘫患儿中髋关节发育基本正常21例(37.50%)，半脱位32例(57.140%)，全脱位3例(5.36%)。Spearman相关分析显示，MP值与髋关节屈曲、内收、内旋肌肌张力呈正相关(P＜0.05)，与髋关节伸展、外展、外旋肌肌力测试结果均呈负相关(P＜0.05)。
结论：学龄期脑瘫儿童髋关节发育与髋周肌肉状况相关。

关键词: 脑性瘫痪, MP值, 髋关节, 肌张力, 肌力

Abstract: Objective：To explore the correlation between the development of hip joint and the ambient muscle tone in schoolage children with cerebral palsy.
Methods：Totally 56 children with cerebral palsy(41 spastic children，9 athetoid children，4 dystaxia children，2 children mixed with spasticity and athetoisis，37 diplegia，16 quadriplegia and 2 hemiplegia) in Guangzhou Rehabilitation Experimental School were recruited. All subjects received Xray examinations to analyze the value of MP.Both the muscle tone of hip flexation，adduction，and intorsion and the muscle strength of hip extention，abduction and extorsion were tested.
ResultsIn 56 patients，21 cases（37.50%） showed generally normal hip development，32 cases（57.14%） showed half dislocation of hip joint and 3 cases（5.36%） showed total dislocation of hip joint. Spearman correlation analysis showed that the value of MP was positively correlated with the muscle tone of hip flexation，adduction，and intorsion（P＜0.05） and was negatively related to the muscle strength of hip extention，abduction and extorsion（P＜0.05）.
ConclusionThere is correlation between the development of hip joint and the ambient muscle tone in schoolage children with cerebral palsy.

Key words: Cerebral palsy, The value of MP, Hip joint, Muscle tone, Muscle strengh