摘要
目的:观察痉挛型脑瘫患儿髋关节半脱位的发生情况,探讨相关因素对半脱位的影响。方法:对我院康复治疗的脑瘫患儿248名采用拍摄骨盆正位片的方式,测量髋关节股骨头外移百分比(MP)。并采用MP分级、粗大运动功能分级、改良Ashworth量表对患儿进行评定。结果:髋关节半脱位发生率为32.7%,不同分型患儿的发生率差异有统计学意义(χ^2=23.626,P=0.001),相关性分析发现粗大运动功能分级(GMFCS)、内收肌改良Ashworth量表(MAS)评分与MP值具有相关性(P<0.01)。结论:痉挛型脑瘫患儿的髋关节半脱位的相关因素是分型、粗大运动功能、内收肌肌张力。
Objective:To observe the condition of hip subluxation in children with spastic cerebral palsy,and to investigate the relevant factors influencing hip subluxation.Methods:All 248 children with spastic cerebral palsy were examined by pelvic positive X-ray,and the migration percentage(MP)was measured.These children were evaluated by MP grades,Gross Motor Function Classification System(GMFCS)and Modified Ashworth Scale(MAS).Results:The incidence of hip subluxation was 32.7%.There was significant difference in incidence of hip subluxation among cerebral palsy types(χ^2=23.626,P=0.001).The correlation analysis showed that there was a correlation between GMFCS,adductor’s MAS and MP value(P<0.001).Conclusion:The relevant factors of hip subluxation in children with spastic cerebral palsy are types,gross motor function and adductor’s muscle tone.
作者
刘建军
汝洁玉
张雁
曾凡勇
李南玲
齐婧
Liu Jianjun;Ru Jieyu;Zhang Yan(Capital Medical University School of Rehabilitation Medicine,China Rehabilitation Research Centre,Beijing 100068,China)
出处
《中国康复》
2020年第4期191-193,共3页
Chinese Journal of Rehabilitation
基金
中国康复研究中心科研项目专项基金项目“脑瘫儿童髋关节半脱位相关因素的研究”(No.2017ZX-17)。
关键词
脑性瘫痪
痉挛
髋关节
半脱位
cerebral palsy
spasticity
hip joint
subluxation
