智力低下和/或脑性瘫痪患儿的危险因素、诱发电位及脑CT分析:回顾性研究  

Analysis of risk factors,evoked potential and brain CT in children with mental retardation and/or cerebral palsy:A retrospective study

作　　者：林秋君[1] 陈文雄[1] 陈景云[1] 陈燕惠[1] 陈达光[1] 胡君[1] 

机构地区：[1]福建医科大学附属协和医院儿内科,福建省福州市350001

出　　处：《中国临床康复》2004年第12期2296-2297,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探讨智力低下、脑性瘫痪危险因素及脑干听觉诱发电位(brainstemauditoryevokedpotentials,BAEP)与脑CT情况。方法:采用回顾性调查法分析137例智力低下和/或脑性瘫痪患儿围生期危险因素、BAEP及脑CT的异常率。结果:54.8%的患儿出生前有异常,25.6%的患儿出生时有异常,16.1%的患儿曾有新生儿期异常;4.4%的患儿有家族史;62.0%的患儿有BAEP异常,52.3%的患儿有脑CT异常。结论:围生期危险因素与智力低下和/或脑性瘫痪发病相关;BAEP及脑CT为早期发现智力低下和/或脑性瘫痪患儿提供有益的辅助帮助。应加强孕期保健及健康教育、提高接产质量及新生儿期急重症的及时诊治。AIM:To explore the risk factors and the status of brain stem auditory evoked potentials(BAEP) and brain CT in children with mental retardation(MR) and/or cerebral palsy(CP). METHODS:Retrospective study was used to analyz the risk factors,BAEP and brain CT abnormal rate in 137 children with MR and/or CP. RESULTS:There were 54.8%of the MR and/or CP children with prenatal abnormalities,25.6%with birth abnormalities,16.1%with neonatal period abnormalities and 4.4%with familial histories;62.0%of the MR and/or CP children had BAEP abnormalities and 52.3%with head CT abnormalities. CONCLUSION:The risk factors of perinatal period are related to the episode of MR and /or CP;BAEP and brain CT are good supplementary means to diagnose MR and/or CP.We should strengthen the health protection during pregnancy period as well as health education,enhance the qualities of delivery technique and cure the acute and heavy diseases in time during neonatal period in order to enhance the qualities of children life.

关 键 词：智力低下 脑性瘫痪 小儿 危险因素 脑CT检查 脑干听觉诱发电位 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R741.044[医药卫生—临床医学]