《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (09): 825-826.

• 专题 • 上一篇    下一篇

痉挛型脑瘫患儿髋关节脱位的风险预测

廖元贵1;吴毅1;史惟2;杨红2;朱默2   

  1. 1.复旦大学附属华山医院康复医学科,上海市 200040;2.复旦大学附属儿科医院康复科,上海市 200032
  • 收稿日期:2009-03-30 出版日期:2009-09-01 发布日期:2009-09-01
  • 通讯作者: 吴毅

Risk of Hip Dislocation on Children with Spastic Cerebral Palsy

LIAO Yuan-gui,WU Yi,SHI Wei,et al   

  1. Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China
  • Received:2009-03-30 Published:2009-09-01 Online:2009-09-01

摘要: 目的 研究脑瘫患儿髋关节脱位的预测因素。方法 对90例脑瘫患儿进行中文版脑瘫粗大运动功能分级系统(GMFCS)分级和脑瘫类型区分,并测定股骨头外移百分比。结果 四肢瘫患儿发生髋关节脱位的风险最大,偏瘫患儿的风险最小;GMFCS Ⅰ级发生髋关节脱位的风险最小,GMFCS Ⅴ级风险最大。结论 痉挛型脑瘫患儿的髋关节异常发育与脑瘫类型和脑瘫粗大运动功能有相关性。

关键词: 脑性瘫痪, 髋关节脱位, 粗大运动, 股骨头, 外移百分比

Abstract: Objective To investigate the development and the risk factor of hip dislocation about children with cerebral palsy. Methods 90 children with cerebral palsy were divided with Chinese version of Gross Motor Function Classification System (GMFCS) and type of cerebral palsy. Their femoral head migration percentage was measured. Results The quadriplegia children were in the biggest risk of hip dislocation, hemiplegia children were the minimum; GMFCS Ⅰ children were in the lowest risk of hip dislocation, GMFCS Ⅴ children were the highest. Conclusion The abnormal development of the hip is correlative with the type of cerebral palsy and motor function in spastic cerebral palsy children.

Key words: cerebral palsy, hip dislocation, gross motor, femoral head, migration percentage