《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (04): 453-456.

• 临床研究 • 上一篇    下一篇

脊髓损伤单丝检查与轻触觉检查结果比较

刘根林 1,2a，李建军 1,2b，周红俊 1,2a，恽晓平 1,2c，郑樱 1,2a，张缨 1,2a，郝春霞 1,2a，高明明 1,2c，卫波 1,2a，王一吉 1,2a，康海琼 1,2a，逯晓蕾 1,2a
   

  1. 1.首都医科大学康复医学院，北京市 100068；2.中国康复研究中心北京博爱医院，a.脊髓损伤康复科；b.脊柱脊髓功能重建科；c.康复评定科，北京市 100068。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-04-25 发布日期:2015-04-25

Comparison between Monofilament Test and Light Touch Exam for Spinal Cord Injury

LIU Gen-lin, LI Jian-jun, ZHOU Hong-jun, YUN Xiao-ping, ZHENG Ying, ZHANG Ying, HAO Chun-xia, GAO Ming-ming, WEI Bo, WANG Yi-ji, KANG Hai-qiong, LU Xiao-lei
   

  1. 1. School of Rehabilitation, Capital Medical University, Beijing 100068, China; 2. Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-04-25 Online:2015-04-25

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被引次数

2

摘要： 目的 观察 Semmes-Weinstein单丝检查法与国际标准的脊髓损伤轻触觉检查法的相关性。方法 住院脊髓损伤患者84例，分别采用Semmes-Weinstein单丝检查法与国际标准的脊髓损伤轻触觉检查法判断损伤平面，按身体左侧和右侧分别记录检查结果。结果 以单侧正常轻触觉平面计算，两种方法的一致率为 36%。对于脊髓损伤残损分级 A级患者，采用单丝检查法检查，损伤平面以下感觉关键点 71%触觉消失，采用国际标准轻触觉检查法 84%消失。结论 脊髓损伤单丝检查与轻触觉检查的一致率较低，可能与脊髓损伤后触觉敏化有关。建议在临床上联合应用两种检查方法。

关键词: 脊髓损伤, 单丝检查, 轻触觉, 损伤平面, 触觉敏化, 康复

Abstract: Objective To investigate the correlation between Semmes-Weinstein monofilament test and light touch exam of international standard for spinal cord injury (SCI). Methods 84 inpatients with SCI were assessed with Semmes-Weinstein monofilament test and light touch exam of international standard to determine the SCI level. The results were recorded as right-side and left-side of the body respectively. Results The normal tactual level of monofilament test and the normal light touch level of International Standard of Spinal Cord Injury (ISSCI) was consistent in 36% result to the unilateral level of SCI. For the 45 cases with ASIA A injury, 71% of the key points below the SCI level lost the tactual sensation in monofilament test, and 84% lost in light touch exam of ISSCI. Conclusion The result of monofilament test is poorly consistent with light touch exam of SCI, which may result from tactile sensitization after SCI. It is recommended to combine these exam in practices.

Key words: spinal cord injury, monofilament test, light touch, injured level, tactile sensitization, rehabilitation