ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (5): 451-454.doi: 10.3969/j.issn.1674-3865.2017.05.029

• 调查研究 • 上一篇    下一篇

1 323例小儿脑性瘫痪临床类型与并发症调查研究

曲笛,关丽君   

  1. 110000 沈阳,沈阳市儿童医院康复二科
  • 出版日期:2017-10-25 发布日期:2017-12-18
  • 通讯作者: 曲笛,E-mail:dizilnzy@163.com
  • 作者简介:曲笛(1982-),女,医学硕士,主治医师。研究方向:中西医结合治疗儿童瘫痪性疾病
  • 基金资助:
    辽宁省科学技术计划项目(2013225002)

Study on the clinical types and complications of 1 323 cases of infantile cerebral palsy

QU Di,GUAN Lijun   

  1. Shenyang Children's Hospital,Shenyang 110000,China
  • Online:2017-10-25 Published:2017-12-18

摘要:
目的
对1 323例小儿脑性瘫痪(简称脑瘫)临床类型、并发症进行调查研究。
方法
2013年1月至2016年10月对辽宁省3~14岁脑瘫患儿1 323例的临床分型及并发症进行调查分析。
结果
脑瘫类型以痉挛型为最多,其次为肌张力低下型、不随意运动型、混合型以及共济失调型。不同年龄段在临床类型分布中差异有统计学意义(P<0.01)。除听力障碍并发症外,不同类型脑瘫并发症发生率比较差异有统计学意义(P<0.05)。其中混合型智力落后发生率显著高于其他类型,其次为痉挛型、共济失调型、肌张力低下型、不随意运动型|视力障碍及听力障碍发生率以共济失调型最多|语言障碍、惊厥或癫痫以及行为异常的发生率以混合型为最多。
结论
各临床类型中智力落后与语言落后发病率最高,临床类型与并发症存在一定内在联系。

关键词: 脑性瘫痪, 临床类型, 并发症, 儿童

Abstract:
Objective
To study the clinical types complications of children with cerebral palsy.
Methods
From January 2013 to October 2016, we investigated the clinical types and complications of 1 323 cases of children with cerebral palsy between the ages of 3 and 14 in Liaoning province.
Results
Spastic type was the most common type of cerebral palsy, followed by low-tension type, involuntary-movement type, mixed type and dystaxic type. There was statistical difference in the clinical types among children at different ages(P<0.01).There was statistical difference in the incidence of complications among different types of cerebral palsy(P<0.05).Except for the complication of hearing impairment, there was statistical difference in the incidence of complications in difference types of cerebral palsy(P<0.05). The incidence of mental retardation was highest in the mixed type, and then spastic type, dystaxic type, low-tension type and involuntary-movement type. Visual and hearing impairment occurred most often in the dystaxic type the incidence of language disorder, convulsion or epilepsy and abnormal behavior was most common in the mixed type.
Conclusion
The incidence of mental and language retardation is highest in various clinical types of cerebral palsy, and these types are internally related to complications.

Key words: Cerebral palsy, Clinical types, Complications, Child