摘要
目的 探讨早产脑性瘫痪（脑瘫）儿的脑瘫类型、胎龄、粗大运动功能水平、共患疾病之间的相关性.方法 对2006年1月至2009年6月在我院脑瘫康复中心住院治疗的早产脑瘫儿进行智力评测、眼科检查、语言-言语功能检查、听觉诱发电位检查、脑电图检测及粗大运动功能分级评估等,分析早产脑瘫儿共患病、粗大运动功能分级水平、出生胎龄和脑瘫类型之间的关联性.结果 258例早产脑瘫儿中,痉挛型双瘫183例,占70.93%.共患病的发生以视觉障碍（48.06%）、语言-言语障碍（46.90%）和智力低下（39.92%）为主.脑瘫类型不同,共患病发生率明显不同,粗大运动功能水平也不同.其中痉挛型双瘫的粗大运动功能水平优于痉挛型四肢瘫、不随意运动型及混合型脑瘫,差异具有统计学意义（P＜0.05）.不同胎龄组早产脑瘫儿的视觉障碍、语言-言语障碍、智力低下共患病分布及粗大运动功能水平比较,差异无统计学意义（P＞0.05）.单就痉挛型双瘫而言,胎龄不同,患儿的视觉障得、语言-言语障碍、智力低下共患病及粗大运动功能水平分布比较,差异亦无统计学意义（P＞0.05）.结论 早产脑瘫儿的共患病发生率及粗大运动功能水平与脑瘫类型有关,而与出生胎龄无关.
Objective To analyze the comorbidities and gross motor function classifications （GMFCs） of premature children with cerebral palsy （CP） in terms of neurological subtype and gestational age in search of some relationship. Methods Children with cerebral palsy treated at the Qingdao Children＇s Hospital from 2006 to mid2009 received intelligence capacity tests, ophthalmological consultations, language/speech tests, brainstem auditory evoked potential measurements, electroencephalograms and GMFC evaluations. All of the children were stratified according to neurological subtype, gestational age, comorbidities and gross motor function classification. Results Of all 258 children, spastic diplegic cerebral palsy predominated （183 case, 70.9% ）. 124 cases （48.1% ） had visual disorders, 121 （46.9%） had language or speech disorders and 103 （39.9%） showed mental retardation. The frequencies of individual comorbidities were distributed disproportionately between the different neurologic subtypes.GMFC levels also differed with the different CP types. The GMFC levels of diplegics were significantly better than those of the other types. The distribution of comorbidities such as visual disorders, language or speech disorders, and mental retardation was not related to gestational age or type of CP. Conclusions There is some correlation between the neurological subtype, comorbidities and the GMFC levels. But there is no significant correlation between gestation age and the severity of CP.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2010年第12期911-914,共4页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
脑性瘫痪
早产
共患病
粗大运动功能分级
Cerebral palsy
Prematurity
Comorbidity
Gross motor function classification system
