ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (1): 88-90.doi: 10.3969/j.issn.1674-3865.2016.01.032

• 临床研究 • 上一篇    下一篇

学龄期脑性瘫痪儿童髋关节发育与髋周肌肉状况的相关性分析

许晶莉，黄少昂，叶长青，范艳萍，蔡璐璐   

  1. 510630 广州，广州康复实验学校儿童康复科(许晶莉，黄少昂，叶长青，蔡璐璐)；154003 黑龙江 佳木斯，佳木斯大学附属第三医院物理治疗科(范艳萍)
  • 收稿日期:2015-09-02 出版日期:2016-02-25 上线日期:2016-02-25
  • 通讯作者: 范艳萍，E-mail:fanyanping66@163.com
  • 作者简介:许晶莉(1977-)，女，医学博士，主治医师。研究方向：脑性瘫痪的临床研究

Correlation between development of hip joint and the ambient muscle tone in school age children with cerebral palsy

XU Jingli，HUANG Shaoang，YE Changqing，FAN Yanping，CAI Lulu   

  1. Guangzhou Rehabilitation Experimental School，Guangzhou 510630，China.
  • Received:2015-09-02 Published:2016-02-25 Online:2016-02-25
  • Contact: FAN Yanping，E-mail:fanyanping66@163.com

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摘要： 目的：探讨学龄期脑性瘫痪(简称脑瘫)儿童髋关节发育与髋周肌肉状况的关系。方法:2015年4月至6月在广州康复实验学校进行康复训练的脑瘫患儿56例，其中痉挛型41例，不随意运动型9例，共济失调型4例，混合型2例；双瘫37例，四肢瘫16例，偏瘫3例。对全部患儿进行髋关节X线片检查，评定股骨头外移百分比(MP值)，并且评定髋关节屈曲、内收、内旋肌肌张力、髋关节伸展、外展、外旋肌肌力。结果：56例脑瘫患儿中髋关节发育基本正常21例(37.50%)，半脱位32例(57.140%)，全脱位3例(5.36%)。Spearman相关分析显示，MP值与髋关节屈曲、内收、内旋肌肌张力呈正相关(P＜0.05)，与髋关节伸展、外展、外旋肌肌力测试结果均呈负相关(P＜0.05)。结论：学龄期脑瘫儿童髋关节发育与髋周肌肉状况相关。

关键词: 脑性瘫痪, MP值, 髋关节, 肌张力, 肌力

Abstract: Objective：To explore the correlation between the development of hip joint and the ambient muscle tone in school age children with cerebral palsy.Methods：Totally 56 children with cerebral palsy(41 spastic children，9 athetoid children，4 dystaxia children，2 children mixed with spasticity and athetoisis，37 diplegia，16 quadriplegia and 2 hemiplegia) in Guangzhou Rehabilitation Experimental School were recruited. All subjects received X ray examinations to analyze the value of MP.Both the muscle tone of hip flexation，adduction，and intorsion and the muscle strength of hip extention，abduction and extorsion were tested.Results:In 56 patients，21 cases（37.50%） showed generally normal hip development，32 cases（57.14%） showed half dislocation of hip joint and 3 cases（5.36%） showed total dislocation of hip joint. Spearman correlation analysis showed that the value of MP was positively correlated with the muscle tone of hip flexation，adduction，and intorsion（P＜0.05） and was negatively related to the muscle strength of hip extention，abduction and extorsion（P＜0.05）.Conclusion:There is correlation between the development of hip joint and the ambient muscle tone in school age children with cerebral palsy.

Key words: Cerebral palsy, The value of MP, Hip joint, Muscle tone, Muscle strengh