病理反射

术后1年进行肌力、肌张力和关节活动度及病理反射的测定，日常生活活动能力评估应用改良的Barthel指数（满分100分，60分为不能自理）进行评定。

The muscle force , muscular tension , joint range of motion ( ROM ) and pathologic reflex were assayed one year after the operation , and the activities of daily living were evaluated with Barthel index ( totally 100 points , 60 as unable to care onself ) .

病理反射未引出。

The pathologic reflex has not drawn out .

下肢肌张力增高，肌力Ⅳ级，腱反射亢进，髌、踝阵挛阳性，Babinski征阳性，屈性病理反射阳性；

Hypermyotonia and ⅳ - level myodynamia in both lower extremities , tendon hyperreflexia , knee cap clonus ( + ), ankle clonuses ( + ), Babinski sign ( + ), and flexion pathologic reflexes ( + );

反射功能评估临床常用者包括腱反射、皮肤反射和病理反射。

Assessment of reflex function usually includes tendon reflex , skin reflex and pathological reflex .

踝阵挛及病理反射消失率100%，12例术前膝腱反射亢进的患者，术后膝反射减弱。

All ankle clonus and pathologic reflexes disappeared . The brisk knee reflex in 12 patients became sluggish after operation .

发现体征13类，其中病理反射、意识障碍、肢体瘫痪居前3位。

13 kinds of signs were found , in which pathologic reflex 、 disorder of consciousness and limb paralysis were most frequent .

病理反射：除跟腱反射外，其他变化均优于对照组（P<0.05）。

Pathologic reflex : Except chilles reflex , other changes were better in the rehabilitative group than those in the control group ( P < 0.05 ) .

结果19例患者术后肢体痉挛都得到缓解（100%），表现在肌张力下降，踝阵挛和病理反射消失或减轻。

RESULTS Spasticity in lower extremities got lessened in all patients ( 100 % ), which showed decreasing of muscle tone , disappearance or decrease of ankle tremor and Babinski sign .

结果术后随访3～6个月，16例患者肌张力增高均得到缓解，踝阵挛和病理反射消失或减轻。

Results During the follow up of 3 to 6 months , all the sixteen patients showed decreasing of the muscular spasticity , disappearance or relief of the ankle tremor and Babinski sign .

由于下运动神经元受损，使其所支配的肌肉得不到应有的冲动兴奋，临床上表现为肌张力降低，反射减弱或消失，伴肌肉萎缩，但无病理反射。

As the lower neuron damaged , it dominates no more its muscle with excitability . Clinically it is manifested as decreased muscle tone , reflex reduced or lost with muscle atrophy , but with no pathological reflex .

全组病例多起病急，病程短，首发症状以精神症状、意识障碍为突出表现，伴有尿失禁、抽搐、不同程度偏瘫或四肢瘫、肌张力增高及病理反射阳性。

Presented with a characteristic clinical Picture of acute onset , apparent psychiatric symptoms and obvious disturbance of consciousness , accompanied by convulsion , incontinence of urine , muscular hypertonia of extremities and bilateral or unilateral positive Babinski 's sign .