摘要
目的探讨声触诊组织成像量化(VTIQ)评估痉挛型脑性瘫痪(简称脑瘫)患儿康复疗效的价值。方法将40例脑瘫患儿随机分成2组,每组20例。在康复训练基础上,对A型肉毒杆菌毒素(BTA)组患儿行BTA治疗;BTA+体外冲击波治疗(ESWT)组加行ESWT。于治疗前和治疗后1、4、12、16周进行改良Ashworth痉挛量表(MAS)评估,并测量小腿三头肌的剪切波速度(SWV)。结果2组患儿治疗前后MAS评分和SWV总体差异均有统计学意义(P均<0.01)。与治疗前相比,BTA组患儿于治疗后4周MAS评分和SWV下降至最低(P均<0.05);BTA+ESWT组患儿于治疗后1周即刻出现MAS评分和SWV明显下降(P均<0.05)。随着治疗后时间延长,2组患儿MAS评分和SWV均逐渐升高,但与治疗前相比差异仍有统计学意义(P均<0.05)。结论VTIQ能够客观、定量反映痉挛肌的硬度变化,可作为评估痉挛型脑瘫患儿康复治疗效果的有效方法。
Objective To explore the value of virtual touch tissue imaging quantification (VTIQ) in evaluation of rehabilitation effect of children with spastic cerebral palsy.Methods Forty spastic children were randomly divided into 2 groups (each n =20).Children treated with rehabilitation training and botulinum toxin A (BTA) injection were assigned into BTA group,while those treated with rehabilitation training,BTA injection and extracorporeal shock wave therapy (ESWT) were assigned into BTA+ESWT group.The modified Ashworth scale (MAS) and shear wave velocity (SWV) using VTIQ were assessed before treatment and 1 week,4 weeks,12 weeks and 16 weeks after treatment.Results There were total significant differences in MAS scores and SWV before and after treatment in both 2 groups (all P <0.01).Compared with those before treatment,MAS score and SWV in BTA group decreased to the lowest 4 weeks after treatment (both P <0.05),while MAS score and SWV in BTA+ESWT group significantly decreased 1 week after treatment (both P <0.05).With time going after treatment,MAS scores and SWV in both groups increased gradually,but the differences were still statistically significant compared with those before treatment (all P <0.05).Conclusion VTIQ can objectively and quantitatively evaluate the hardness of spastic muscles,therefore can be used as an effective method for evaluation rehabilitation treatment of children with spastic cerebral palsy.
作者
江文婷
杨舒萍
沈浩霖
朱家安
江浩清
JIANG Wenting;YANG Shuping;SHEN Haolin;ZHU Jia′an;JIANG Haoqing(Department of Ultrasound,Zhangzhou Affiliated Hospital of Fujian Medical University,Zhangzhou 363000,China;Department of Ultrasound,Peking University People's Hospital,Beijing 100044,China;Department of Rehabilitation,Zhangzhou Affiliated Hospital of Fujian Medical University,Zhangzhou 363000,China)
出处
《中国医学影像技术》
CSCD
北大核心
2019年第9期1392-1395,共4页
Chinese Journal of Medical Imaging Technology
基金
中国医师协会超声医师分会科技新星计划(2017004)
关键词
脑性瘫痪
声触诊组织成像量化
剪切波速度
超声检查
cerebral palsy
virtual touch tissue imaging quantification
shear wave velocity
ultrasonography
