中国儿童中枢性肌肉痉挛体外冲击波治疗临床实践指南(2024)  

Chinese clinical practice guideline for extracorporeal shock wave therapy in children with central spasticity(2024)

作　　者：中国康复医学会儿童康复专业委员会 中国研究型医院学会冲击波医学专业委员会 曹建国[2] 邢更彦 黄美欢[2] 刘青[2] Pediatric Rehabilitation Committee of Chinese Association of Rehabilitation Medicine;Shockwave Medical Association of Chinese Research Hospital Association;Cao Jianguo;Xing Gengyan

机构地区：[1]不详 [2]深圳市儿童医院 [3]中国人民解放军总医院第三医学中心

出　　处：《中华实用儿科临床杂志》2024年第12期901-910,共10页Chinese Journal of Applied Clinical Pediatrics

基　　金：广东省高水平医院建设财政资金(ynkt2021-zz036);深圳市科技计划项目(JCYJ20220530160004010)。

摘　　要：体外冲击波治疗(ESWT)是一种非侵入性、安全、有效的治疗方法,在多个临床领域得到广泛应用。随着ESWT在儿童康复领域的推广,涌现了大量新的治疗经验和研究成果,丰富了ESWT治疗肌肉痉挛的临床证据。然而,针对儿童中枢性肌肉痉挛ESWT治疗的关键技术和方案尚未统一。为进一步规范ESWT在儿童中枢性肌肉痉挛中的应用,中国康复医学会儿童康复专业委员会与中国研究型医院学会冲击波医学专业委员会联合组织国内相关专家制订本指南,内容包括ESWT的适应证及效果、禁忌证、定位方法、治疗参数、联合治疗方案、评价指标、不良事件处理及使用者资质等,旨在促进ESWT更加规范、合理使用。Extracorporeal shock wave therapy(ESWT)is a non-invasive,safe,and effective treatment widely used across various clinical fields.There has been a growing focus on applying ESWT in pediatric rehabilitation,leading to an abundance of new treatment experiences and research findings that enhance the clinical evidence supporting its use for spasticity management.However,standardized key technical aspects and treatment protocols for ESWT in children with central spasticity are still lacking.To address this gap and promote standardization in ESWT for central spasticity in children,the Pediatric Rehabilitation Committee of Chinese Association of Rehabilitation Medicine collaborated with the Shockwave Medical Association of Chinese Research Hospital Association to develop this guideline.The guideline covers indications and effectiveness of ESWT,contraindications,positioning techniques,treatment parameters,combined therapy options,outcome measures,potential adverse events,and user qualifications to encourage more standardized and rational use of ESWT.

关 键 词：儿童 中枢性肌肉痉挛 体外冲击波治疗 指南 

分 类 号：R746[医药卫生—神经病学与精神病学]