摘要
本文总结门诊诊治的小儿周围神经损伤209例,药物臀部肌肉注射所致坐骨神经损伤153例和臂丛产瘫37例占90.91％.本组病例均采用以低频脉冲电刺激疗法和增强肌力训练为主的综合康复治疗措施,总有效率达94.51％,其中痊愈74.39％,好转20.12％,无效5.49％.观察结果表明:损伤恢复时间长短与损伤程度及受损神经纤维长短有关,即损伤程度相同,年龄越大恢复时间相应越长(在正常发育情况下).电诊断是诊断周围神经损伤的重要手段,但肌电图和电测定分别于损伤后3～4周和2～3周即神经变性过程完成后方有检查意义。因此,为了保存失神经支配肌的质量,防止挛缩,宜一经根据病史、体征对损伤作出诊断,就立即进行康复治疗。
This study investigated 209 children with peripheral nerves injury (PNI)
who had been treated in outpatient department. 139 children were male, 70 female with age
ranging from 13 days to 12 years old.In 153 cases,sciatic nerve injuries were caused by in-
correct injection to buttock and in 37 cases,brachia plexus injury was due to birth injuries.
The patients with these 2 injuries accounted for 90.91%. The patients in our study were
treated by low frequency electronic stimulation and comprehensive rehabilitation focusing on
increasing muscle power. The general effective rate was 94.51% with curative rate 74.39%,
improvement rate 20.12% and ineffective rate 5.49%. Our results showed that the period of
recovery from injury related with the injury degree and the length of the injured nerve fib-
ers: with the same injury degree, the older the children the longer the time needed for re-
covery (under normal development).Electronic diagnosis is an important diagnosing tool for
PNI,however,EMG and electronic diagnosis can be detective for PNI only three-four weeks
and two-three weeks after the injury respectively when the degeneration porcess finishes.
Therefore, in order to protect the muscles without innervation and prevent muscle contrac-
tion, the rehabilitation managment must be applied immediately after establishment of dia-
gnosis of PNI based on the case history and physical sign.
出处
《中国康复》
1990年第4期166-169,共4页
Chinese Journal of Rehabilitation
