颈髓损伤患者颈肩部残存肌力与呼吸功能恢复的关系

doi:10.3969/j.issn.1006-9771.2017.11.014

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (11): 1308-1312.doi: 10.3969/j.issn.1006-9771.2017.11.014

颈髓损伤患者颈肩部残存肌力与呼吸功能恢复的关系

杨明亮¹, 唐丽¹, 杨德刚¹, 陈亮¹, 宫慧明¹, 李建军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.脊柱脊髓神经功能重建科;
b. 心血管内科,北京市 100068。

收稿日期:2017-05-27 出版日期:2017-11-25 发布日期:2017-12-10
通讯作者: 李建军(1962-),男,汉族,山东威海市人,教授,主任医师,博士生导师,主要研究方向：脊柱脊髓损伤临床治疗与康复、康复管理。E-mail: crrclij2010@sohu.com。
作者简介:杨明亮(1967-),男,汉族,湖南汨罗市人,博士,主任医师,硕士生导师,主要研究方向：脊柱脊髓损伤及并发症的诊断治疗,呼吸功能重建,神经康复。

Correlation between Residual Strength of Neck and Shoulder Muscles and Respiratory Function in Patients with Cervical Spinal Cord Injury

YANG Ming-liang¹, TANG Li¹, YANG De-gang¹, CHEN Liang¹, GONG Hui-ming¹, LI Jian-jun¹

1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China;
2. a. Department of Spinal and Neural Function Reconstruction;
b. Department of Cardiovascular Medicine, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China

Received:2017-05-27 Published:2017-11-25 Online:2017-12-10
Contact: LI Jian-jun. E-mail: crrclij2010@sohu.com

摘要/Abstract

摘要： 目的观察颈髓损伤患者颈肩部残存肌力与呼吸功能的相关性。方法 2015年1月至2016年6月,30例创伤性颈髓损伤患者于损伤后5周、24周检查患者胸锁乳突肌、斜方肌、三角肌肌力,进行感觉、运动功能评分,检测肺功能。结果间断脱机患者三角肌肌力与肺活量在伤后5周、24周呈正相关(r>0.806, P<0.05),感觉评分在伤后5周存在相关性(r=0.914, P<0.01),运动评分(r=0.979, P<0.001)、斜方肌肌力(r=0.894, P<0.01)在伤后24周存在相关性。结论颈肩部残存肌力,特别是三角肌肌力对颈髓损伤患者呼吸功能有一定影响。

关键词: 颈髓损伤, 肺功能, 肌力, 三角肌, 斜方肌, 胸锁乳突肌

Abstract: Objective To investigate the correlation between residual strength of neck and shoulder muscles and respiratory function in patients with cervical spinal cord injury.Methods From January, 2015 to June, 2016, the muscle strength of sternocleidomastoid, trapezius and deltoid was tested in 30 patients with cervical spinal cord injury five and 24 weeks after injury. Meanwhile, their neurological and pulmonary function was evaluated.Results There was correlation between the vital capacity and muscle strength of deltoid both five and 24 weeks after injury (r>0.806, P<0.05) in the patients intermittent without ventilation, and it was found in sense score five weeks after injury (r=0.914, P<0.01), motor score (r=0.979, P<0.001) and the muscle strength of trapezius (r=0.894, P<0.01) 24 weeks after injury.Conclusion The residual strength of neck and shoulder muscles, especially of deltoid, plays an important role in the respiratory function in patients with cervical spinal cord injury.

Key words: cervical spinal cord injury, pulmonary function, muscle strength, trapezius, sternocleidomastoid, deltoid

中图分类号:

R651.2

杨明亮, 唐丽, 杨德刚, 陈亮, 宫慧明, 李建军. 颈髓损伤患者颈肩部残存肌力与呼吸功能恢复的关系[J]. 《中国康复理论与实践》, 2017, 23(11): 1308-1312.

YANG Ming-liang, TANG Li, YANG De-gang, CHEN Liang, GONG Hui-ming, LI Jian-jun. Correlation between Residual Strength of Neck and Shoulder Muscles and Respiratory Function in Patients with Cervical Spinal Cord Injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(11): 1308-1312.

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颈髓损伤患者颈肩部残存肌力与呼吸功能恢复的关系

Correlation between Residual Strength of Neck and Shoulder Muscles and Respiratory Function in Patients with Cervical Spinal Cord Injury

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