74例小儿脑性瘫痪临床特征分析  

Clinical characteristics of 74 children with cerebral palsy

作　　者：刘毅梅[1] 张枫[1] 胡俭[1] 姚月珍[1] 

机构地区：[1]无锡市第一人民医院儿童康复中心,江苏无锡214061

出　　处：《现代保健（医学创新研究）》2007年第2期22-23,共2页

摘　　要：目的分析小儿脑性瘫痪的分型特点及其各种并发症和实验室检查特征，探讨高危因素致病率。方法回顾性分析本科收治的74例脑瘫患儿的病历资料。结果分型以痉挛型双瘫为主，占52．7％；合并症为：智力低下（86．7％）、视力障碍（23．0％）、听觉障碍（12．2％）、癫痫（9．5％）；头颅cT异常率58．7％、脑电图异常率37．0％、脑干听觉诱发电位异常率55．6％，其中cT阳性率与临床分型无明显相关性（P〉0．05）；高危因素中比例较高者：早产（40．5％）、窒息（39．2％）、异常分娩（39．2％）、低体重儿（33．8％）；具有二项以上高危因素者占50％以上。结论本组患儿合并智力低下较多，CT、脑干听觉诱发电位异常改变均占所查患儿的一半以上，预防早产、窒息、异常分娩等高危因素可减少脑性瘫痪的发生。Objective To analysis the clinical characteristics and the high risk factors of children with cerebral palsy, Methods Clinical data of 74 children with cerebral palsy were retrospectively analyzed, Results 86, 7% of children involved had mental retardation, 23.0% had visual impairment and 12, 2% had hearing loss, 9, 5% of children had epilepsy, 58, 7% of children involved had abnormal cranial CT results and 37, 0% had abnormal EEG,55, 6% of children had abnormal brain stem auditory evoked potentials, The primary high risk factors were premature （40, 5% ）. asphyxia （39, 2% ）. abnormal bearing （39, 2% ） and low birth body weight （33, 8% ）, Condusion Most of the children in this group are mental retarded, and more than half of them had abnormal CT and BAEP results, Prevent the high risk factors as premature, asphyxia and abnormal bearing is the best way to avoid cerebral palsy.

关 键 词：脑性瘫痪 临床特征 高危因素 

分 类 号：R722.12[医药卫生—儿科]