脑瘫患儿髋关节发育敏感指标及痉挛型双瘫患儿髋关节发育情况分析  

Indices of hip development in children with spastic diplegia and their sensitivity

作　　者：桑琳[1] 孙若鹏[4] 张伟 赵建设[3] 李洪英[1] 徐玲[1] 王姝彦[1] 

机构地区：[1]山东大学齐鲁儿童医院康复中心,济南250022 [2]山东大学齐鲁儿童医院急诊科,济南250022 [3]山东大学齐鲁儿童医院放射科,济南250022 [4]山东大学齐鲁医院儿科

出　　处：《中华物理医学与康复杂志》2009年第4期256-259,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的探讨评价脑瘫患儿髋关节发育的敏感指标，研究不能独立行走的痉挛型双瘫患儿髋关节发育状况及其影响因素。方法比较57例脑瘫患儿（脑瘫组）及30例正常儿童（对照组）的髋关节X线片，测量髋臼指数（AI）、股骨头偏移百分比（MP）、中心边缘角（CE角）、颈干角（NSA），并进行统计学分析。计算各年龄组不能独立行走的痉挛型双瘫患儿的髋关节半脱位患病率，并进行比较。结果脑瘫组MP、NSA与对照组比较，差异有统计学意义（P〈0．01）。不能独立行走的痉挛型双瘫患儿的髋关节半脱位患病率为20．45％，其中3～5岁年龄组髋关节半脱位患病率高于〈3岁年龄组，差异有统计学意义（P〈0．05）。结论MP可作为评价髋关节发育的敏感观察指标，5岁以内不能独立行走的痉挛型双瘫患儿的髋关节半脱位患病率为20．45％，年龄是影响其髋关节发育的重要因素。Objective To assess the sensitivity of indices of hip development in children with spastic diplegia resulting from cerebral palsy. Methods X-ray images of the hips of 57 children with cerebral palsy （the cerebral palsy group） were checked, and the acetabular index （AI） , femur head migration percentage （MP） , centeredge angle and neck-shaft angle （NSA） were compared with those of normal children （the control group, n =30）. Results The differences in MP and NSA between the two groups were significant. The prevalence of hip subluxation was 20.45% among the children with spastic diplegia who could not walk independently, and the prevalence was significantly greater in children 3 to 5 years old than among those under 3. Conclusion The MP can be used as a sensitive index to evaluate hip development. Age is a relevant factor affecting the hip development of children with cerebral palsy.

关 键 词：脑瘫 髋关节 股骨头偏移百分比 

分 类 号：R742.3[医药卫生—神经病学与精神病学]