脑性瘫痪患儿颅底动脉血流动力学与临床的相关性研究  

Study of correlation between clinical status and hemodynamics of the basal cerebral arteries in children with cerebral palsy

作　　者：唐亮[1] 蒋德禹[1] 陈宁安[1] 

机构地区：[1]上海市儿童医院儿童康复中心,上海200040

出　　处：《中国组织工程研究与临床康复》2001年第17期30-31,共2页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：目的评价以体外反搏 (ECP)为主的综合疗法治疗小儿脑性瘫痪（ CP）的临床疗效与颅底动脉血流动力学改变的相关性。方法对 184例 CP患儿，采用常规方法中加入 ECP治疗，并进行治疗前后自身配对比较。观察临床疗效以及临床与颅底动脉血流动力学的相关性。结果 184例 CP患儿总有效率达 89.7％。显效及完全恢复病例中其颅底动脉血流动力学总体趋向显著好转，而无效者总体好转不明显，恶化者其颅底动脉血流动力学也趋向恶化。结论以 ECP为主的综合疗法对治疗小儿 CP具有良好的改善颅底动脉血流动力学的作用和良好的临床疗效，且两者具有一定的相关性。Objective To evaluate the clinical therapeutic effect of external counterpulastion(ECP) in addition to the conventional therapy, and to discuss the correlation between clinical status and hemodynamics of the basal cerebral arteries. Method 184 children with CP tested by transcranial color doppler(TCD) were treated with ECP in addition to the conventional therapy, and by 3 months treatment the blood flow rate was compared with before. Then the clinical status was assessed with scales of activities of daily living (ADL). Result By 3 months treatment,the total rate of efficacy reached 89.7％ . The blood flow rate increased extremely in those patient had made recovery, and increased insignificantly in the suffering children had not got better, and decreased in the sick children had got worse. Conclusion ECP in addition to the conventional therapy is efficacious to improve the clinical status and hemodynamics of the basal cerebral arteries in CP children and maybe there are some relationship between the clinical status and hemodynamics of the basal cerebral arteries .

关 键 词：脑性瘫痪 体外反搏 血流动力学 双功能彩色多普勒 

分 类 号：R742.3[医药卫生—神经病学与精神病学]