影响痉挛性脑瘫SPR术后行走能力的因素及其意义分析  

Influential Factors of Walking Ability after Selective Posterior Rhizotomy (SPR) in Children with Spastic Cerebral Palsy and Their Significance

作　　者：王波[1] 王海军[2] 徐林[1] 洪毅[1] 王业华[1] 周均[1] 

机构地区：[1]北京医科大学人民医院骨神经科,北京100034 [2]黑龙江省海伦市人民医院,152300

出　　处：《中国矫形外科杂志》2001年第3期237-239,共3页Orthopedic Journal of China

摘　　要：目的 :研究影响SPR术后行走功能的预后因素 ,为痉挛性脑瘫的治疗方案提供依据。方法 :12 8例无独立行走能力的痉挛性脑瘫患儿术前及术后进行肌张力检查、步态评分、判定爬行能力、蹲位起立能力、双踝背伸能力及脑瘫分类 ,并进行统计分析。结果 :爬行能力、起立能力、脑瘫类型和踝背伸能力与术后行走能力呈显著正相关 ,而术前肌张力水平与术后行走能力无明显相关性。结论 :爬行能力、起立能力和脑瘫类型是SPR术后行走能力强有力的预后因素。功能训练对术后功能有重要意义。Objective:To investigate the prognostic factors of walking ability after SPR and provide basis for treatment of spastic cerebral palsy.Methods:The muscle tone,gait score,ability of creeping,standing up and ankle dorsiflexion in 128 children with spastic cerebral palsy who couldn't walk independently were examined before and after operation,and the types of paralysis were determined.These data was analysed with statistical methods.Results:The ability of creeping,standing up and ankle dorsiflexion and the types of cerebral palsy were significantly correlated with the walking ability postoperatively,the preoperative muscle tone was not correlated with the walking ability after SPR.Conclusion:The ability of creeping and standing up and the type of cerebral palsy are powerful prognosticators of postoperative walking ability.Functional training is of great importance to the postoperative walking ability.

关 键 词：脑性瘫痪 选择性脊神经后切断术 行走能力 影响因素 

分 类 号：R651.1[医药卫生—外科学]