痉挛型脑瘫患儿髋关节脱位的风险预测  

Risk of Hip Dislocation on Children with Spastic Cerebral Palsy

作　　者：廖元贵[1] 吴毅[1] 史惟[2] 杨红[2] 朱默[2] 

机构地区：[1]复旦大学附属华山医院康复医学科,上海市200040 [2]复旦大学附属儿科医院康复科,上海市200032

出　　处：《中国康复理论与实践》2009年第9期825-826,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的研究脑瘫患儿髋关节脱位的预测因素。方法对90例脑瘫患儿进行中文版脑瘫粗大运动功能分级系统(GMF-CS)分级和脑瘫类型区分,并测定股骨头外移百分比。结果四肢瘫患儿发生髋关节脱位的风险最大,偏瘫患儿的风险最小;GMF-CSⅠ级发生髋关节脱位的风险最小,GMFCSⅤ级风险最大。结论痉挛型脑瘫患儿的髋关节异常发育与脑瘫类型和脑瘫粗大运动功能有相关性。Objective To investigate the development and the risk factor of hip dislocation about children with cerebral palsy. Methods 90 children with cerebral palsy were divided with Chinese version of Gross Motor Function Classification System （GMFCS） and type of cerebral palsy. Their femoral head migration percentage was measured. Results The quadriplegia children were in the biggest risk of hip dislocation, hemiplegia children were the minimum; GMFCS I children were in the lowest risk of hip dislocation, GMFCS V children were the highest. Conclusion The abnormal development of the hip is correlative with the type of cerebral palsy and motor function in spastic cerebral palsy children.

关 键 词：脑性瘫痪 髋关节脱位 粗大运动 股骨头 外移百分比 

分 类 号：R742.3[医药卫生—神经病学与精神病学]