《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (7): 619-621.

• 论文 • 上一篇    下一篇

脑瘫儿童内收肌痉挛的继发损伤与处理

刘建军1，2，吴卫红1，2   

  1. 1.首都医科大学康复医学院，北京市 100068；2.中国康复研究中心儿童康复科，北京市 100068。
  • 收稿日期:2010-05-10 修回日期:2010-06-17 出版日期:2010-07-25 发布日期:2010-07-25

Secondary Injury and Treatment of Adductor Spasticity in Children with Cerebral Palsy (review)

LIU Jian-jun, WU Wei-hong.   

  1. Department of Children Rehabilitation, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2010-05-10 Revised:2010-06-17 Published:2010-07-25 Online:2010-07-25

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摘要： 内收肌痉挛是脑瘫儿童的常见症状。已经发现内收肌的超微结构会出现一些病理性变化，如果不能得到及时有效的处理，可能出现继发障碍，如髋关节脱位、肌腱短缩、关节挛缩、髋关节疼痛等。内收肌痉挛的处理方法包括内收肌牵拉训练、矫形器与训练器、选择性脊神经后根切断术、闭孔神经前支切断术、内收肌肌腱切断术、酚阻滞术、肉毒毒素注射、鞘内注射巴氯酚等，各有其优势和劣势。

关键词: 脑性瘫痪, 内收肌, 痉挛, 继发损伤, 综述

Abstract: The adductor spasticity is a common symptom in children with cerebral palsy. The ultramicrostructure damages have been found in adductor. If the spasticity is not treated in time, there will be some secondary injury, such as hip joint dislocation, muscle tendon crispation, contracture of joint, hip pain, and so on. The treatment for adductor spasticity includes stretching, orthosis, training device, selective posterior rhizotomy, neurotomy of anterior branch of obturator nerve, Adductor myotomy, phenol block, Botulinum Toxin injection, Intrathecal baclofen etc. Every method has its own advantage and disadvantage.

Key words: cerebral palsy, adductor, spasticity, secondary injury, review