颈髓损伤患者颈肩部残存肌力与呼吸功能恢复的关系

发布时间：2018-01-29 17:11

本文关键词： 颈髓损伤肺功能肌力三角肌斜方肌胸锁乳突肌　出处：《中国康复理论与实践》2017年11期 　论文类型：期刊论文

【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(r0.806,P0.05),感觉评分在伤后5周存在相关性(r=0.914,P0.01),运动评分(r=0.979,P0.001)、斜方肌肌力(r=0.894,P0.01)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。
[Abstract]:Objective to observe the correlation between residual muscle strength and respiratory function in cervical spinal cord injury patients. Methods from January 2015 to June 2016, 30 patients with traumatic cervical spinal cord injury were treated 5 weeks after injury. The muscle strength of sternocleidomastoid muscle, trapezius muscle, deltoid muscle, sensory and motor function score and lung function were examined at 24 weeks. Results the muscle strength and vital capacity of deltoid muscle and vital capacity in patients with intermittent weaning were 5 weeks after injury. At 24 weeks, there was a positive correlation between r0.806 and P0.05, and there was a correlation between sensory score and motor score at 5 weeks after injury. There was a correlation between the muscle strength of trapezius muscle and the muscle strength of trapezius muscle at 24 weeks after injury. Especially the muscle strength of deltoid muscle has a certain effect on the respiratory function of patients with cervical spinal cord injury.
【作者单位】：首都医科大学康复医学院;中国康复研究中心北京博爱医院脊柱脊髓神经功能重建科;中国康复研究中心北京博爱医院心血管内科;
【分类号】：R493;R651.2
【正文快照】： 颈髓损伤是一种致命的创伤,除导致患者四肢瘫机[1-6]。对慢性颈髓损伤,许多患者可因发热、活动增痪外,常累及脊髓内呼吸中枢(膈神经核、C3-5),导致加、情绪焦虑等诱发呼吸困难,出现胸闷不适,严重广泛呼吸肌肉瘫痪。在急性期,84%颈髓损伤患者存影响生活质量[7]。能否从神经系统

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