脑性瘫痪患儿86例临床特征及治疗现状分析  

Clinical features and treatment status in 86 children with cerebral palsy

作　　者：周伟[1] 薛宝松 黄晓霞 徐旭日[3] 

机构地区：[1]青岛大学医学院附属青岛市市立医院儿科 [2]青岛市计划生育委员会科技处 [3]青岛大学医学院附属青岛市市立医院神经科

出　　处：《中国临床康复》2004年第27期5928-5930,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探讨脑性瘫痪(脑瘫)的致病因素及临床诊断。方法:回顾性分析了86例脑瘫的围生期病史、临床资料和影像学检查,并记录和咨询家长对康复治疗的意见。结果:脑瘫常见病因中窒息占36%,早产15%,缺氧缺血性脑病(HIE)15%,颅内感染10%,其他病因均较少。常见临床类型为痉挛型脑瘫52例(60%),其中四肢瘫41例(47%),肌张力低下型12例(15%),手足徐动型8例(9%)。脑瘫合并语言障碍53例(62%),智力低下41例(48%),癫痫21例(24%),听力障碍15例(17%),视力障碍14例(16%),小头畸形10例(12%)。CT或MRI检查80%异常。接受康复治疗的依从性为运动治疗80%,药物治疗76%,语言治疗75%,针灸治疗37%,作业治疗35%。结论:围生期早期干预、防治窒息,是减少脑瘫发生的主要措施。AIM:To explore the pathogenic factors and clinical diagnosis of cerebral palsy(CP). METHODS:Retrospective analysis was carried out in perinatal history,clinical data,imaging data and parents' notion for rehabilitation in 86 children with CP. RESULTS:The most common pathogenic factors of CP were apnea(36%),premature birth(15%),hypoxic ischemic encephalopathy (HIE)(15%) and infection in cranium (10%);other factors were less.The common clinical type was spastic paralysis,which was found in 52 cases (60%),including 41of tetraplegia(47%),12 of hypotonic(14%) and 8 of athetosis(9%). There were 53 cases(62%)of combination of CP and language disorder,41(48%) of mental retardation,21(24%)of epilepsy,15(17%) of dysaudia,14(16%) of visual disturbance and 10(12%) of microcephaly.CT or MRI examination was normal in 80%patients.The compliance of rehabilitation treatment was 80%for sports treatment,76%for drug treatment,75%for speech therapy,37%for acupuncture and 35%for occupational therapy. CONCLUSION:Earlier intervention and preventive apnea in perinatal period are principal measures to prevent CP.

关 键 词：残疾儿童 脑性瘫痪 因素分析 统计学 诊断 

分 类 号：R729[医药卫生—儿科]