首页 > 过刊浏览>2022年第30卷第7期 >635-638,643. DOI:10.3977/j.issn.1005-8478.2022.07.12
HTML阅读 XML下载 导出引用 引用提醒
脑性瘫痪的外科与康复一体化治疗进展
作者:
作者简介:

曾杰,住院医师,博士,研究方向:脑性瘫痪的中西医结合治疗,(电话)19522066056,(电子信箱)a1592127578@163.com

中图分类号:

R687


Progress in the integrated treatment of surgery and rehabilitation for cerebral palsy
Author:
  • 摘要
    • | |
  • 访问统计
    • |
  • 参考文献 [34]
    • |
  • 相似文献 [20]
    • | | |
  • 文章评论
    摘要:

    脑性瘫痪是最常见的儿童致残性疾病，外科手术与康复训练是其主要治疗方法。本文总结外科手术和康复训练在脑瘫治疗中的应用现状和相互关系，分析构建脑瘫外科与康复治疗一体化模式的必要性、目前问题和相应策略，以期推动脑瘫诊疗的多学科协作。

    Abstract:

    Cerebral palsy is the most common disabling disease in children, while surgery and rehabilitation training are the main treat- ment methods for it. This paper summarizes the current status and relationship between surgery and rehabilitation training for cerebral pal- sy, analyzes the necessity, problems and corresponding strategies of constructing an integrated mode of surgery and rehabilitation therapy for cerebral palsy, in order to promote multidisciplinary collaboration in the diagnosis and treatment of cerebral palsy.

    参考文献
    [1] Khandaker G,Muhit M,Karim T,et al.Epidemiology of cerebralpalsy in Bangladesh:a population-based surveillance study [J].Dev Med Child Neurol,2019,61(5):601-609.
    [2] Jonsson U,Eek MN,Sunnerhagen KS,et al.Cerebral palsy preva?lence,subtypes,and associated impairments:a population-basedcomparison study of adults and children [J].Dev Med Child Neu?rol,2019,61(10):1162-1167.
    [3] Peacock WJ,Arens LJ,Berman B.Cerebral palsy spasticity.Selec?tive posterior rhizotomy [J].Pediatr Neurosci,1987,13(2):61-66.
    [4] 徐林,崔寿昌,赵利,等.高选择性脊神经后根切断术14例初步报告 [J].中华显微外科杂志,1991,14(4):193-195.
    [5] American Medical Association.Diagnostic and therapeutic technol?ogy assessment.Dorsal rhizotomy [J].JAMA,1990,264(19):2569-2570,2572,2574.
    [6] Park TS.In support of selective dorsal rhizotomy in cerebral palsy:the strength of clinical experience [J].Dev Med Child Neurol,2020,62(5):654-655.
    [7] Bolster EA,van Schie PE,Becher JG,et al.Long-term effect of se?lective dorsal rhizotomy on gross motor function in ambulant chil?dren with spastic bilateral cerebral palsy,compared with referencecentiles [J].Dev Med Child Neurol,2013,55(7):610-616.
    [8] 徐林.关于开展脑瘫SPR的若干问题 [J].中国矫形外科杂志,1995,2(2):141-142,117.
    [9] Sitthinamsuwan B,Chanvanitkulchai K,Phonwijit L,et al.Im?provement of sitting ability and ambulation status after selective pe?ripheral neurotomy of the sciatic hamstring nerve together with ob?turator branches for severe spasticity of the lower extremities [J].Stereotact Funct Neurosurg,2012,90(5):335-343.
    [10] Dekopov AV,Shabalov VA,Tomski AA,et al.Microsurgical selec?tive neurotomy in treatment of the focal spastic syndromes of thedifferent etiology [J].Zh Vopr Neirokhir Im N N Burdenko,2013,77(2):65-72.
    [11] Graham HK,Rosenbaum P,Paneth N,et al.Cerebral palsy [J].Nat Rev Dis Primers,2016,2:15082.
    [12] 穆晓红,李筱叶.痉挛型脑性瘫痪外科治疗专家共识 [J].中国矫形外科杂志,2020,28(1):77-81.
    [13] O'Brien DF,Park TS.A review of orthopedic surgeries after selec?tive dorsal rhizotomy [J].Neurosurg Focus,2006,21(2):e2.
    [14] Park HS,Park ES,Chang JW,et al.Combined therapy of orthope?dic surgery after deep brain stimulation in cerebral palsy mixedtype-a case report [J].Ann Rehabil Med,2011,35(5):742-746.
    [15] Blumetti FC,Wu JCN,Barzi F,et al.Orthopaedic surgery in dys?tonic cerebral palsy [J].J Pediatr Orthop,2019,39(4):209-216.
    [16] Eek MN,Olsson K,Lindh K,et al.Intrathecal baclofen in dyskinet?ic cerebral palsy:effects on function and activity [J].Dev MedChild Neurol,2018,60(1):94-99.
    [17] Buizer AI,Martens BHM,Grandbois van Ravenhorst C,et al.Ef?fect of continuous intrathecal baclofen therapy in children:a sys?tematic review [J].Dev Med Child Neurol,2019,61(2):128-134.
    [18] Duan Y,Gao X,Luo X,et al.Evaluation of the efficacy of cervicalperivascular sympathectomy on drooling in children with athetoidcerebral palsy [J].Eur J Paediatr Neurol,2015,19(3):280-285.
    [19] Sanger TD.Deep brain stimulation for cerebral palsy:where are wenow [J].Dev Med Child Neurol,2020,62(1):28-33.
    [20] Koy A,Timmermann L.Deep brain stimulation in cerebral palsy:challenges and opportunities [J].Eur J Paediatr Neurol,2017,21(1):118-121.
    [21] 李晓捷,庞伟,孙奇峰,等.中国脑性瘫痪康复指南(2015):第六部分 [J].中国康复医学杂志,2015,30(12):1322-1330.
    [22] St?rvold GV,Jahnsen RB,Evensen KAI,et al.Is more frequentphysical therapy associated with increased gross motor improve?ment in children with cerebral palsy?A national prospective co?hort study [J].Disabil Rehabil,2020,42(10):1430-1438.
    [23] Mugglestone MA,Eunson P,Murphy MS.Guideline DevelopmentGroop Spasticity in children and young people with non-progres?sive brain disorders:summary of NICE guidance [J].BMJ,2012,345:e4845.
    [24] Reedman SE,Boyd RN,Trost SG,et al.Efficacy of participationfocused therapy on performance of physical activity participationgoals and habitual physical activity in children with cerebral palsy:a randomized controlled trial [J].Arch Phys Med Rehabil,2019,100(4):676-686.
    [25] 李思奇,张玉梅.构音障碍的评定与康复治疗进展 [J].中国医师进修杂志,2021,44(1):88-92.
    [26] 马婷婷,张皓.下肢康复机器人改善痉挛型脑性瘫痪儿童步行移动功能的物理治疗研究进展 [J].中国康复理论与实践,2021,27(2):171-176.
    [27] 付周婷,唐巍.小儿脑瘫性运动障碍针灸临床研究述评 [J].陕西中医药大学学报,2018,41(1):134-137.
    [28] Li LX,Zhang MM,Zhang Y,et al.Acupuncture for cerebral palsy:a meta-analysis of randomized controlled trials [J].Neural RegenRes,2018,13(6):1107-1117.
    [29] Lu WP,Tsai WH,Lin LY,et al.The beneficial effects of massageon motor development and sensory processing in young childrenwith developmental delay:a randomized control trial study [J].Dev Neurorehabil,2019,22(7):487-495.
    [30] Li E,Zhao P,Jian J,et al.GM1 acupoint injection improves mentalretardation in children with cerebral palsy [J].J Mol Neurosci,2019,67(2):305-311.
    [31] ?alar Okur S,Uur M,?enel K.Effects of botulinum toxin A injec?tion on ambulation capacity in patients with cerebral palsy [J].Dev Neurorehabil,2019,22(4):288-291.
    [32] Mittal S,Farmer JP,Al-Atassi B,et al.Long-term functional out?come after selective posterior rhizotomy [J].J Neurosurg,2002,97(2):315-325.
    [33] Aisen ML,Kerkovich D,Mast J,et al.Cerebral palsy:clinical careand neurological rehabilitation [J].Lancet Neurol,2011,10(9):844-852.
    [34] 李晓捷,庞伟,郭津.中国儿童康复事业 1980-2020 年发展历程回顾与展望 [J].中国康复理论与实践,2020,26(8):869-880.
    引证文献
    Comments
    Comments
    分享到微博
    Submit
引用本文

曾杰,徐林,邓博文,等. 脑性瘫痪的外科与康复一体化治疗进展[J]. 中国矫形外科杂志, 2022, 30 (7): 635-638,643. DOI：10.3977/j. issn.1005-8478.2022.07.12.
ZENG Jie, XU Lin, DENG Bo-wen, et al. Progress in the integrated treatment of surgery and rehabilitation for cerebral palsy[J]. Orthopedic Journal of China , 2022, 30 (7): 635-638,643. DOI：10.3977/j. issn.1005-8478.2022.07.12.

复制
文章指标
  • 点击次数:97
  • 下载次数: 640
  • 引用次数: 0
历史
  • 收稿日期:May 07,2021
  • 在线发布日期: June 10,2023
Firefox, Chrome, IE10, IE11 are recommended. Other browsers are not recommended.
Post Code：271000 Tel：0538-6213228
URL：http://jxwk.ijournal.cn/ E-mail：jiaoxingtougao@163.com
Orthopedic Journal of China ® 2025 All Rights Reserved