痉挛型双瘫患儿智力结构特征及与运动发育相关性  

Intelligence Characteristics and Correlation with Motor Development of Children with Spastic Diplegia

作　　者：文香淑[1] 王贞[2] 曾辉建[1] 刘丽娟[1] 

机构地区：[1]珠海市妇幼保健院儿童神经康复科,广东珠海市519001 [2]青岛市妇女儿童医疗保健中心神经康复科,山东青岛市266011

出　　处：《中国康复理论与实践》2006年第10期835-836,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨痉挛型双瘫患儿的智力特征及与运动发育的相关性。方法对46例患儿进行韦氏智力测查与运动发育里程碑评估,并与正常对照组进行比较。结果痉挛型双瘫患儿智力明显低于对照组,尤其以操作智商明显,因子中以木块、迷津、下蛋等明显低下;操作智商与运动发育相关,运动里程碑延迟越明显,操作智商则越差;智力正常的双瘫患儿在下蛋、迷津、木块、概括亚项方面明显低于对照组,而语言智商与对照组无显著性差异。结论痉挛型双瘫患儿智力结构不均衡,操作智商明显低下,主要与涉及手眼协调、视-运动协调和速度、空间视觉化能力的项目有关。Objective To investigate the intelligence characteristics and relativity with motor development of children with spastic diplegia. Methods Intelligence and motor development of 46 children with spastic diplegia were tested by Weehsler Intelligence Scale and Motor Development Milestone （MDM）, to find out difference of intelligence between the children with diplegia and the normal control group. Results Intelligence quotient （IQ） of children with spastic diplegia was lower significantly than the normal control, specially performance IQ （PIQ）. PIQ was related with motor development. The more delayed motor development was, the more lower PIQ was. Subtest scores of animal egg, puzzle, block design and picture generalization were lower in spastic diplegie children with normal IQ than that of the normal control group, while vocabulary IQ （VIQ） was not different. Conclusion The intelligence structure of children with spastic diplegia is imbalaneed and PIQ of those children is slgnifieantly lower than the normal children, whleh is related to hands-eyes correspond, sight-motor correspond and speed, and space-sight ability.

关 键 词：痉挛型双瘫 智力 运动发育 

分 类 号：R742.3[医药卫生—神经病学与精神病学]