颈动脉交感神经网剥脱术治疗痉挛型单侧脑瘫患儿的疗效及对运动功能的影响  

Effect of carotid sympathetic nerve net stripping operation in treating children patients with spastic unilateral cerebral palsy and its effect on motor function

作　　者：艾克拜尔.哈里克 逯霞[1] 木塔力甫.努热合买提 许健[1] 闫宝锋 买尔阿芭[1] 栾新平[1] 

机构地区：[1]新疆医科大学第二附属医院脑瘫中心,乌鲁木齐830011

出　　处：《重庆医学》2018年第2期167-169,共3页Chongqing medicine

基　　金：国家自然科学基金资助项目(81660202)

摘　　要：目的探讨颈动脉交感神经网剥脱术治疗痉挛型单侧脑瘫患儿的疗效及对其运动功能的影响。方法 76例痉挛型单侧脑瘫患儿分成对照组和观察组,在常规治疗基础上,前者用A型肉毒素治疗,后者用颈动脉交感神经网剥脱术治疗。比较两组治疗后6个月的脑瘫儿童综合功能评定量表评分提高程度,粗大运动功能量表(GMFM)评分及Ashworth痉挛分级。结果观察组治疗后6个月的脑瘫儿童综合功能评定量表评分和GMFM评分提高程度及Ashworth痉挛分级改善均显著高于对照组,差异有统计学意义(P<0.05)。结论颈动脉交感神经网剥脱术治疗痉挛型单侧脑瘫疗效显著,值得临床推广。Objective To investigate the effect of carotid sympathetic nerve net stripping operation in treating children patients with spastic unilateral cerebral palsy and its effect on motor function. Methods Seventy-six children cases of spastic unilater- al cerebral palsy were divided into the control group and observation group. On the basis of routine therapy, the former was treated with type A botulinum toxin,while the latter used the carotid sympathetic nerve netting operation for the treatment. After 6-month treatment, the improvement degree of the Comprehensive Functional Rating Scale of Cerebral Palsy Children ,Gross Motor Function Measure（GMFM） score and Ashworth spasm grade were compared between the two groups. Results after 6-month treatment.the improvement degrees of the Comprehensive Functional Rating Scale of Cerebral Palsy Children, GMFM scores and Ashworth spasm grade in the observation group were significantly greater than those in the control group, the difference was statistically significant （P《0. 05）. Conclusion The carotid sympathetic nerve net stripping operation in treating children patients with spastic unilateral cerebral palsy has significant effect and is worthy to be popularized in clinic.

关 键 词：脑性瘫痪 运动活动 颈动脉交感神经网剥脱术 

分 类 号：R742.3[医药卫生—神经病学与精神病学]