痉挛型脑瘫患儿髋关节半脱位的相关因素分析  

Analysis of relevant factors of hip subluxation in children with spastic cerebral palsy

作　　者：刘建军[1] 汝洁玉 张雁[1] 曾凡勇[1] 李南玲[1] 齐婧[1] Liu Jianjun;Ru Jieyu;Zhang Yan(Capital Medical University School of Rehabilitation Medicine,China Rehabilitation Research Centre,Beijing 100068,China)

机构地区：[1]首都医科大学康复医学院,中国康复研究中心儿童康复科,北京100068 [2]厦门医学院附属第二医院康复医学科,福建厦门361021

出　　处：《中国康复》2020年第4期191-193,共3页Chinese Journal of Rehabilitation

基　　金：中国康复研究中心科研项目专项基金项目“脑瘫儿童髋关节半脱位相关因素的研究”(No.2017ZX-17)。

摘　　要：目的:观察痉挛型脑瘫患儿髋关节半脱位的发生情况,探讨相关因素对半脱位的影响。方法:对我院康复治疗的脑瘫患儿248名采用拍摄骨盆正位片的方式,测量髋关节股骨头外移百分比(MP)。并采用MP分级、粗大运动功能分级、改良Ashworth量表对患儿进行评定。结果:髋关节半脱位发生率为32.7%,不同分型患儿的发生率差异有统计学意义(χ^2=23.626,P=0.001),相关性分析发现粗大运动功能分级(GMFCS)、内收肌改良Ashworth量表(MAS)评分与MP值具有相关性(P<0.01)。结论:痉挛型脑瘫患儿的髋关节半脱位的相关因素是分型、粗大运动功能、内收肌肌张力。Objective:To observe the condition of hip subluxation in children with spastic cerebral palsy,and to investigate the relevant factors influencing hip subluxation.Methods:All 248 children with spastic cerebral palsy were examined by pelvic positive X-ray,and the migration percentage(MP)was measured.These children were evaluated by MP grades,Gross Motor Function Classification System(GMFCS)and Modified Ashworth Scale(MAS).Results:The incidence of hip subluxation was 32.7%.There was significant difference in incidence of hip subluxation among cerebral palsy types(χ^2=23.626,P=0.001).The correlation analysis showed that there was a correlation between GMFCS,adductor’s MAS and MP value(P<0.001).Conclusion:The relevant factors of hip subluxation in children with spastic cerebral palsy are types,gross motor function and adductor’s muscle tone.

关 键 词：脑性瘫痪 痉挛 髋关节 半脱位 

分 类 号：R49[医药卫生—康复医学] R742.3[医药卫生—临床医学]