169例脑瘫患儿的智力及适应行为分析  

Intelligence and Adaptive Behavior of Children with Cerebral Palsy: 169 Case Report

作　　者：刘松怀[1,2] 梁志锋[1,2] 洪晔[1,2] 祁长凤[1,2] 张雁[1,3] 刘建军[1,3] 

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心心理科,北京市100068 [3]中国康复研究中心儿童康复科,北京市100068

出　　处：《中国康复理论与实践》2010年第12期1180-1182,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的了解我国脑瘫患儿智力和适应行为发展状况及其关系。方法采用中国韦氏幼儿智力量表和中国韦氏儿童智力量表及婴儿-初中生社会生活能力量表对169例脑瘫患儿的智力和适应行为进行评估,然后对这两项结果进行相关分析。结果 169例脑瘫患儿言语智商、操作智商、总智商的平均分均比正常儿童智力的平均分低,并且操作智商和总智商的平均分均低于70;总智力缺陷有93例(55%),其中缺陷程度为轻度43例(46.23%)、中度36例(38.71%)、重度13例(13.98%)、极重度1例(1.08%),且操作智力损伤显著多于言语智力损伤(P<0.001);总体社会生活能力有缺陷113例(66.86%)、独立生活能力缺陷104例(61.54%)、运动能力缺陷147例(86.98%)、作业能力缺陷133例(78.70%)、交往能力缺陷73例(43.20%)、参加集体生活能力缺陷115例(68.05%)、自我管理能力缺陷90例(53.25%),除独立生活能力与参加集体生活能力外社会生活能力其他方面均有显著性差异(P<0.05,P<0.001),其中,运动能力缺陷最大,交往能力缺陷最小;韦氏智力量表评定的结果与婴儿-初中生社会生活能力量表评定的结果存在显著相关(P<0.001)。结论脑瘫不仅导致患儿的智力损伤,而且导致大部分患儿智力缺损,并且智力缺陷的程度以轻、中度为主,操作智力的损伤对脑瘫患儿的总体智商影响更大;绝大多数脑瘫患儿的适应行为有缺陷,并且各分项能力的缺陷不完全一致。Objective To explore the state of intelligence and adaptive behavior of children with cerebral palsy and the correlation between them.Methods 169 children with cerebral palsy were evaluated with Wechsler Intelligence Scale for Children（Chinese version） and the Infants-Junior Middle School Students＇ Social-Life Abilities Scale for the intelligence and the adaptive behavior.Results The average scores of verbal intelligence quotient（VIQ）,performance intelligence quotient（PIQ） and full intelligence quotient（FIQ） of the patients were lower than the normal children and the average scores of PIQ and FIQ were less than 70;the PIQ deficiency was significant more than the VIQ deficiency（P〈0.001）.93 cases had mental deficiency,including 43（46.23%） for mild,36（38.71%） for moderate,13（13.98%） for severe,1（1.08%） for extreme severe.There were 113（66.86%） for the deficiency of full social-life abilities,104（61.54%） for Self-Help,147（86.98%） for Locomotion,133（78.70%） for Occupation,73（43.20%） for Communication,115（68.05%） for Socialization,90（53.25%） Self-Direction.The damage of Locomotion was the most serious,while the damage of Communication was the least serious.The outcomes of Wechsler Intelligence Scale was significantly correlated with the Infants-Junior Middle School Students＇ Social-Life Abilities Scale（P〈0.001）.Conclusion The cerebral palsy causes not only intelligent damage,but also intelligence deficiency in most patients and the major level of the intelligent deficiency is mild to moderate.The damage of the performance intelligence has more influence on the full scale intelligence in the children with cerebral palsy.Most of the children with cerebral palsy have inconsistent deficiency of different aspects of the adaptive behavior.

关 键 词：脑瘫 智力 适应行为 社会生活能力 心理评定 

分 类 号：R742.3[医药卫生—神经病学与精神病学]