96例脑性瘫痪临床特点及高危因素的研究  

Researches on the Clinical Characteristics and High Risk Factors of 96 Patients with Cerebral Palsy

作　　者：蒋滔滔[1] 洪琦[1] 卓秀慧[1] 罗小杏[1] 叶翠容[1] 

机构地区：[1]广东省深圳市宝安区妇幼保健院,广东深圳518000

出　　处：《医学临床研究》2006年第6期899-901,共3页Journal of Clinical Research

摘　　要：【目的】分析脑性瘫痪的临床特点并探讨脑性瘫痪的高危因素。【方法】以医院就诊病人为研究对象,采用1∶2病例对照研究方法,对高危因素进行条件logistic回归分析,以探讨有可能对脑性瘫痪的发生产生影响的危险因素。【结果】脑性瘫痪的分型以痉挛型脑性瘫痪最多,为76.04%;87.5%的病例有合并损伤,其中以脑性瘫痪合并智力低下的损害最多,为47.92%,有20.83%的病例有三重损害,8.33%的病例有四重损害;多因素分析示早产、新生儿窒息、低出生体重、新生儿期疾病、高胆红素血症、双胎妊娠与脑性瘫痪的发生有关联。【结论】多种因素可引起脑性瘫痪的发生。[Objective]To analyze the clinic characteristics of cerebral palsy, and to investigate its high-risk factors. [Methods]The clinical patients were chosen as the investigated subjects, the cases-comparison study method with the proportion of 1 ： 2 was adopted, and the conditional regression analysis on the high-risk factors was carried out in order to search out the potential factors that were likely to lay dangerous impact on incidence of cerebral palsy. [Results]In the cases of the cerebral palsy, the type of spastic cerebral palsy made up the most of it, with the percentage of 76. 04% ; and 87.5% of the patients had some simultaneous damage, among which the cases of cerebral palsy combined with mental retardation damage made up the most（47. 920% ）, 20. 83% of the patients had tripled the damage and 8.33% quadrupled. The multi-factor logistic regression analysis showed that abortion, neonatal asphyxia, low-birth-weight, illnesses in the neonatal period, kernicterus and bigeminal pregnancy had much to do with the cerebral palsy. [Conclusion]The cerebral palsy is caused by many different factors.

关 键 词：脑性瘫痪 危险因素 

分 类 号：R742.3[医药卫生—神经病学与精神病学]