海南医科大学学报

目的:分析选择性脊神经后根切断术联合生物反馈综合治疗痉挛性脑瘫患儿的临床意义。方法:选择在本院接受治疗的痉挛性脑瘫患儿作为研究对象,随机分为两组,对照组患儿单纯使用选择性脊神经后根切断术,观察组使用选择性脊神经后根切断术联合生物反馈综合治疗,比较两组治疗前后的脑电功率、粗大运动功能评分、肌张力及关节活动度。结果:(1)治疗后,两组患者θ波值及θ/β比值均低于治疗前,β波值高于治疗前,且观察组患者的θ波值及θ/β比值低于对照组,β波值高于对照组,差异均有统计学意义(P均<0.05);(2)治疗后,两组患者的粗大运动功能量表(GMFM)66项评分值均高于治疗前,且观察组患者的GMFM-66项评分值高于对照组,差异有统计学意义(P均<0.05);(3)治疗后,两组患者的腓肠肌肌张力及足背屈角均低于治疗前,且观察组患者的腓肠肌肌张力及足背屈角均低于对照组,差异有统计学意义(P均<0.05)。结论:选择性脊神经后根切断术联合生物反馈综合治疗可以有效改善痉挛性脑瘫患儿的脑功能,增强粗大运动功能,同时降低患儿肌张力,增加关节活动度。

Objective:To analyze the effect of selective posterior rhizotomy(SPR)combine with biofeedback on patients with spastic cerebral palsy.Methods:Patients with spastic cerebral palsy were selected as research subjects,and were randomly divided into simple the control group with SPR and observation group with SPR combined biofeedback treatment.EEG,gross motor function score,muscle tension and joint activity were detected and compared.Results:After treatment,θwave values andθ/βratios were lower,GMFM-66-score values were higher,and gastrocnemius muscle tension and foot dorsiflexion angle were lower than before,β-wave values was higher than before.θwave in observation groups values andθ/βratio was lower than that of control group,β-wave values was higher.GMFM-66-score values in observation groups was higher than that of control group.Gastrocnemius muscle tension and foot dorsiflexion angle in observation groups were lower than control group.Conclusions:SPR combined biofeedback can effectively improve the brain function of children with spastic cerebral palsy,enhance gross motor function,reduce muscle tension and increase range of motion.