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首页> 中文期刊> 《中国临床医学》 >改良Ashworth屈肘肌张力评估与肱二头肌B超测量值相关分析

改良Ashworth屈肘肌张力评估与肱二头肌B超测量值相关分析

         
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摘要

目的:探讨B超肌肉测量值评估肌肉痉挛的可行性.方法:收集卒中单侧偏瘫患者,屈肘肌肉痉挛组20例,无屈肘肌肉痉挛组20例.采用B超对肱二头肌关键点两侧肌腱、肌腹处及肌膜处进行测量,同时进行改良Ashworth肌张力评估.不同组B超测得值进行比较,并与改良Ashworth值行Spearman相关分析.结果:肱二头肌B超测量值中,痉挛组患侧肌膜厚度较健侧明显增厚,痉挛组肱二头肌肌膜患侧与健侧比值较非痉挛组明显增高(P<0.01).肱二头肌肌膜与Ashworth测得值中度相关(r=0.608,P<0.01);肱二头肌肌膜患健比与Ashworth测得值高度相关(r=0.742,P<0.01).结论:B超测量值中肌膜厚度与肌肉痉挛的常规评估指标高度相关,可作为肌肉痉挛即时、精准的简易辅助评估指标.%Objective:To explore the feasibility of assessment of muscle spasm by the measurement date using ultrasound.Methods:Totally 40 patients (20 cases with spasm and 20 cases without flexor elbow muscle spasm) with single side hemiplegia were selected.Their biceps were measured by ultrasound on the tendon, muscle abdominal and the muscle film, and Ashworth value of the muscle tone of biceps was also assessed.Ultrasound data were compared between two groups.Besides, the Spearman correlation was analyzed between the measurement dates used ultrasound and the Ashworth value of the muscle tone of their biceps.Results:Among all the measurement value by ultrasound of the biceps, the affected side muscle spasm group film thickness was relatively unaffected thickened.The ultrasound data ratio of myolemma thickness of affected and unaffected side was significantly higher in spasm group than normal group (P<0.01).The correlation coefficient between musculus biceps brachii sarcolemma and Ashworth value was 0.608, which was moderate correlation (r=0.608, P<0.01).The ultrasound data ratio of biceps myolemma thickness and Ashworth value was highly correlated (r=0.742,P<0.01).Conclusions:The ultrasound date of myolemma thickness was highly correlated with the common measurement, and can be used as an instant, simple and precise measurement method of spasms.

著录项

  • 来源
    《中国临床医学》 |2017年第3期|387-390|共4页
  • 作者

    仲荣洲; 褚立希; 王陶黎; 张红; 黄永磊; 黄龙珠; 许嘉宁;

  • 作者单位

    同济大学附属上海市养志康复医院(上海市阳光康复中心)骨与关节康复科,上海 201619;

    同济大学附属上海市养志康复医院(上海市阳光康复中心)骨与关节康复科,上海 201619;

    同济大学附属上海市养志康复医院(上海市阳光康复中心)骨与关节康复科,上海 201619;

    同济大学附属上海市养志康复医院(上海市阳光康复中心)骨与关节康复科,上海 201619;

    同济大学附属上海市养志康复医院(上海市阳光康复中心)骨与关节康复科,上海 201619;

    同济大学附属上海市养志康复医院(上海市阳光康复中心)骨与关节康复科,上海 201619;

    同济大学附属上海市养志康复医院(上海市阳光康复中心)骨与关节康复科,上海 201619;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 超声波诊断;
  • 关键词

    肌痉挛; 改良Ashworth值; B超; 相关分析;

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