《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (08): 778-779.

• 临床研究 • 上一篇    下一篇

肌张力评价在继发性正常颅压脑积水诊治中的临床意义

张新;孙炜;王利清;王宇;周剑云   

  1. 1.中国康复研究中心北京博爱医院神经外科，北京市 100068;2. 首都医科大学康复医学院，北京市 100068
  • 收稿日期:2009-04-13 修回日期:2009-06-18 出版日期:2009-08-01 发布日期:2009-08-01

A Susceptible Diagnostic Criteria in Secondary Normal Pressure Hydrocephalus

ZHANG Xin,SUN Wei,WANG Li-qing,et al   

  1. Capital Medical University School of Rehabilitation Medicine, Department of Neurosurgery, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2009-04-13 Revised:2009-06-18 Published:2009-08-01 Online:2009-08-01

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摘要： 目的 探讨肌张力评价在继发性正常颅压脑积水诊治中的意义。方法 采用改良Ashworth分级对23例自发性脑出血开颅术后继发脑积水患者肌张力进行观察，评价其在脑室腹腔分流术后的变化。结果 脑室腹腔分流装置安置位置理想、分流功能正常，术后原发脑损伤同侧肢体肌张力改善100%，其中78%提高至正常。对侧肌张力改善86%，其中46%提高至正常。Evans指数改善35%。结论 原发脑损伤同侧肢体肌张力评价是诊断继发性脑积水，评价手术疗效简单实用、较敏感的观察指标。

关键词: 正常颅压脑积水, 痉挛, 脑室腹腔分流术

Abstract: Objective To investigate the diagnostic and predictive value of spasticity in shunting patients with normal pressure hydrocephalus (NPH).Methods Twenty-three secondary NPH patients who received ventriculo-peritoneal shunt were retrospected. Increased muscular tension were quantified pre and post-shunting by modified Ashworth scale. The dilatated ventricle was measured by Evans' index.Results Four weeks after shunting, spasticity was relieved to some extent on all the identical limbs side of the primary impairment cerebral and 78% cases was improved to zero scale. on the contralateral side limbs, the relieved rate was 86% and 46% cases improved to normal scale. Evans' index improved 35%.Conclusion Increased muscle tonus could be measurement quantified and is readily available and sensitive as a diagnostic criteria in secondary NPH.

Key words: normal pressure hydrocephalus, spasticity, shunting