亚急性联合变性的姿势平衡障碍定量评价及治疗前后的变化  

Evaluation of postural balance disorder between before and after the treatment in subacute combined degeneration

作　　者：文诗广[1] 刘明[1] 陈伟群[1] 许贤豪[1] 

机构地区：[1]卫生部北京医院神经科,北京100730

出　　处：《中国康复医学杂志》2000年第4期205-207,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的 :客观、定量了解亚急性联合变性 (subacutecombineddegeneration ,SCD)患者的静立姿势平衡功能及治疗前后的变化。方法 :采用重心摆动仪测试 30名正常人及 12例SCD患者治疗前后的姿势图及有关参数。结果 :正常人重心摆动轨迹中心型多见 ,SCD患者重心摆动轨迹呈弥散型 ;SCD患者重心摆动的面积增大 ,速度增快 ,与正常人比较差异有显著性 (P <0 0 5 ) ;SCD患者闭眼时摆动面积明显增大 ,与睁眼比较有极显著差异 (P <0 0 1)。SCD患者经VitB12 治疗后 ,症状有明显改善 (P <0 0 1) ,静立姿势图治疗前后的变化与临床症状相符。结论 :重心摆动检查能客观、定量评价SCD的直立姿势平衡功能 ,对评价平衡障碍的程度 ,疾病的经过。Objective:To study objectively and quantitatively the static postural control between pre and post the treatment in subacute combined degeneration(SCD).Method:The locus of postural sway was measured with computer stabilometer during 1 minute period in 30 normal subjects and 12 patients suffering from SCD before and after the treatment,by analyzing and comparing the static posturography.Result:Centripetal pattern posturography was the most prominent figure pattern in normal subjects,diffuse pattern was the prominent figure pattern in patients suffering from SCD.The area and velocity of postural sway of the patients were significantly increased in comparison with normal subjects( P <0 05).The area of postural sway with eyes closed were significantly increased in comparison with eyes opening( P <0 01).Although after VitB 12 therapy,all the patients improved( P <0 01).The changes of the static posturography and clinical symptoms correspond with each other.Conclusion:The computer stabilometer could be used to assess the static standing stability of SCD objectively and quantitatively. Author′s address\ Department of Neurology,Beijing Hospital,The Ministry of Health,Beijing,100730

关 键 词：亚急性联合变性 姿势图 定量评定 姿势平衡障碍 

分 类 号：R742[医药卫生—神经病学与精神病学]