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时间:2019-02-25
《a型肉毒毒素治疗痉挛型脑性瘫痪跖屈畸形的疗效分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、遵义医学院硕士学位论文A型肉毒毒素治疗痉挛型脑性瘫痪跖屈畸形的疗效分析姓名:李同欢申请学位级别:硕士专业:儿科学指导教师:束晓梅201205遵义医学院硕士学位论文A型肉毒毒素治疗痉挛型脑性瘫痪跖屈畸形的疗效分析中文摘要目的:观察A型肉毒毒素(botulinumatoxin,BTX.A)治疗痉挛型脑性瘫痪跖屈畸形的疗效,探索跖屈畸形患儿治疗的新途径。方法:选择2010年6月"~2011年11月我院收治的62例明确诊断且表现为跖屈畸形的痉挛型脑性瘫痪患儿,根据小腿三头肌肌张力及足背曲角的程度不同分为4组,第1组,肌张力为I极和I+级,足背曲角O。~一15。,共20例;第2
2、组,肌张力II级,足背曲角一150~--250,共19例;第3组,肌张力III级,足背曲角--250~--350,共15例;第4组,肌张力Ⅳ级,足背曲角--35。~--450,共8例。全部病例均给予A型肉毒毒素局部注射,并于注射后3天、1周、1月、3月和6月,测量患儿踝关节关节活动度及应用改良Ashworth痉挛评定量表评定小腿三头肌肌张力变化以观察疗效。结果:各组病例在注射后1月和3月小腿三头肌肌张力和踝关节活动度与注射前比较差异具有统计学意义(P3、一例出现过敏反应,仅1例出现短暂肌肉无力,并在注射后1周自行消失。结论:1、BTX.A局部肌肉注射是一种治疗痉挛型脑性瘫痪尖足畸形疗效显著的方法。2、跖屈畸形脑瘫患儿应早期予BTX.A治疗。关键词:脑性瘫痪;跖屈畸形;痉挛;A型肉毒毒素4遵义医学院硕士学位论文A型肉毒毒素治疗痉挛型脑性瘫痪跖屈畸形的疗效分析EffectsofBotuHnumatoxinIn]ectiononTiptoeDeformationwithSpasticCerebralPalsyAbstractob]ective:Toinvestigatethetherapeuticeffectofbotul4、inumAtoxin(BTX-A)injectionontiptoedeformationwimspasticcerebralpalsy(scP),andthenewtreatmenttotiptoedeformation.Methods:62SCPchildrenwimtiptoedeformationinourstudyfromJune2010toNov2011,weredividedinto4groupsbasedonthelevelofcalftricepsmusculartensionandankledorsiflexionangle,groupI(20ca5、ses),musculartensionIandI+level,ankledorsiflexionanglefrom00to一150;groupII(19cases),musculartensionlevelII,ankledorsiflexionanglefrom00to一150;groupIII(15cases),musculartensionlevelIII,ankledorsiflexionanglefrom--250to--350;andgroupIV(8cases),musculartensionlevelIv,ankledorsiflexionangle6、from--350to--450.62childrenweretreatedbyBTX-Ablock.Thegastrocnemiusandsoleusmuscleswerelocatedbyperipheralnervestimulatorsurfacemodeandinvivomodel.Afterinjectedw油BTX—Athirdday,firstweek,firstmonth,nlirdmonthandsixthmonth,toinvestigatethetherapeuticeffectbymeasurementofankledorsiflexiona7、ngleandevaluationofcalftricepstensionvariation.Results:Bothankledorsiflexionangleandcalftricepstensionvariationweresignificantdifference1stmonthand3rdmonthaftertheinjectionofbotulinumAtoxininineachgroup(P
3、一例出现过敏反应,仅1例出现短暂肌肉无力,并在注射后1周自行消失。结论:1、BTX.A局部肌肉注射是一种治疗痉挛型脑性瘫痪尖足畸形疗效显著的方法。2、跖屈畸形脑瘫患儿应早期予BTX.A治疗。关键词:脑性瘫痪;跖屈畸形;痉挛;A型肉毒毒素4遵义医学院硕士学位论文A型肉毒毒素治疗痉挛型脑性瘫痪跖屈畸形的疗效分析EffectsofBotuHnumatoxinIn]ectiononTiptoeDeformationwithSpasticCerebralPalsyAbstractob]ective:Toinvestigatethetherapeuticeffectofbotul
4、inumAtoxin(BTX-A)injectionontiptoedeformationwimspasticcerebralpalsy(scP),andthenewtreatmenttotiptoedeformation.Methods:62SCPchildrenwimtiptoedeformationinourstudyfromJune2010toNov2011,weredividedinto4groupsbasedonthelevelofcalftricepsmusculartensionandankledorsiflexionangle,groupI(20ca
5、ses),musculartensionIandI+level,ankledorsiflexionanglefrom00to一150;groupII(19cases),musculartensionlevelII,ankledorsiflexionanglefrom00to一150;groupIII(15cases),musculartensionlevelIII,ankledorsiflexionanglefrom--250to--350;andgroupIV(8cases),musculartensionlevelIv,ankledorsiflexionangle
6、from--350to--450.62childrenweretreatedbyBTX-Ablock.Thegastrocnemiusandsoleusmuscleswerelocatedbyperipheralnervestimulatorsurfacemodeandinvivomodel.Afterinjectedw油BTX—Athirdday,firstweek,firstmonth,nlirdmonthandsixthmonth,toinvestigatethetherapeuticeffectbymeasurementofankledorsiflexiona
7、ngleandevaluationofcalftricepstensionvariation.Results:Bothankledorsiflexionangleandcalftricepstensionvariationweresignificantdifference1stmonthand3rdmonthaftertheinjectionofbotulinumAtoxininineachgroup(P
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