颈髓损伤患者颈肩部残存肌力与呼吸功能恢复的关系.PDFVIP

中国康复理论与实践2017年11月第23卷第11期ChinJRehabilTheoryPract,Nov.,2017,Vol.23,No.11 - 1308 - DOI: 10.3969/j.issn. 1006-9771.2017.11.014 ·临床研究 · 颈髓损伤患者颈肩部残存肌力与呼吸功能恢复的关系① 1,2a 1,2b 1,2a 1,2a 1,2a 1,2a 杨明亮 ，唐丽 ，杨德刚 ，陈亮 ，宫慧明 ，李建军 [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。 [关键词] 颈髓损伤；肺功能；肌力；三角肌；斜方肌；胸锁乳突肌 Correlation between Residual Strength of Neck and Shoulder Muscles and Respiratory Function in Patients with Cervical Spinal Cord Injury YANG Ming-liang1,2a, TANG Li1,2b, YANG De-gang1,2a, CHEN Liang1,2a, GONG Hui-ming1,2a, LI Jian-jun1,2a 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. a. Department of Spi- nal and Neural Function Reconstruction; b. Department of Cardiovascular Medicine, Beijing Boai Hospital, China Reha- bilitation Research Center, Beijing 100068, China Correspondence to LI Jian-jun. E-mail: crrclij2010@ Abstract: Objective To investigate the correlation between residual strength of neck and shoulder muscles and respiratory function in patients with cervical spinal cord injury. Methods From January, 2015 to June, 2016, the muscle strength of sternocleidomastoid, trapezius and deltoid was tested in 30 patients with cervical spinal cord injury five and 24 weeks after injury. Meanwhile, their neurological and pul- monary function was evaluated. Results There was correlation between the vital capacity and muscle strength of deltoid both five and 24 weeks after injury (r0.806, P0.05) in the patien