生物电刺激治疗痉挛型脑性瘫痪的研究近况.pdfVIP

知b刽翩靠牵制卷第12 期2刷刷月 J Appl C.蜘 PediaJr， V.叫No.12 ，li毗跚 .948 . 生物电刺激治疗瘟孪型脑性瘫痪的研究近况 杨丽英，高宝勤 (首都医科大学附属北京天坛医院儿科，北京l(则50) 摘要:脯件瘫痪(脐瘫)的治疗仍然是民学界的难题。建孪理脑瘫肢体瘁孪的病E甲午机制在于大脑皮质运动氏和锥体束损伤后对 脊髓牵张反射的抑制障碍，导致肌肉被动牵张时速度依赖性抵抗力增加，肌张力增高致姿势异常、特殊步态，并有高致残惑，严重影 响了患儿的生活质量。临床上有很多以降低肌张力为主妥治疗目的的治疗子段，如药物、康复治疗、理疗、针灸、推拿等，生物电刺激 疗法是最近新兴的治疗手段，其疗效及机制尚在探索中，现对生物电剌激治疗是学型脑瘫近期研究进行综述。 实用JL科临床杂志，.2fJ脚，却 (12) :蝇-950 关键词:生物电剌激;脑性瘫痪，症事性;研究近况 中图分类号: R729 文献标志码: A 文章编号: 1∞3-515X(2仰)12 -佣48 -03 R四earch Situation of Bi伺1配tr，回timulation Treatment on Spastic Cerebral Palsy YANG Li- 泸哩， GAO Bω -qin ( Department of Pediatrics , 8eiji吨 Tiantan Hospital Affiliated to Capital Medical University , 8eijing lOOO50 , China) Abstrad: The treatment of cerehral palsy is still a big medical problem. The pathogenesis of sp幽tici町，国陀sult of a variety of lesions of 由e cerebral cortex , brain stem , spinal cord , is caused by involvement of the inhibitory pyramidal and parapyramidal descending tr配18 termi- nating on the spinal facilitatory myotatic reflex. A I回ion of the descending tracts disturbs 由自 equilihrium leadingωspasticity ， which is cha- racterized by muscle resistance at r.回t 也at 臼 velocity dependent and associated with 四 increase in tonic stretch reflexes resulting from hype- rexcitability of the s嗣tch reflex. Sp幽ticity caused ahnomal posture ,caused special movement , and higher multilation , which affect childrens )jfe 盹verely. There 町盹 many ways to lower hypermyotonia ,such 田:drugs ,rehabilitation care ,acupuncture and so on. Bioelectric stimulation therapy is a new ways in the wne. 118 curative effect and 由e mechanism are still in explore ,this article just ωgive an overview about bioel田­ tric stimulation therapy in curing sp幽，tic cerebral palsy. JApμ CHn Pediatr , 2侃)9， 24 (12): 94