《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (10): 833-834.

• 专题　儿童康复 • 上一篇    下一篇

脑瘫患儿粗大运动功能与脑瘫类型及合并症间的关系

李洪英; 马海霞; 李晓曦; 徐玲; 桑琳; 黄艳; 杨亚丽   

  1. 山东大学齐鲁儿童医院康复中心,山东济南市 250022
  • 收稿日期:2006-03-07 出版日期:2006-10-01 发布日期:2006-10-01

Correlation between Gross Motor Function and the Clinical Types and Complications of Children with Cerebral Palsy

LI Hong-ying,MA Hai-xia, LI Xiao-xi, et al   

  1. The Center of Rehabilitation, Qilu Children's Hospital, Shandong University, Jinan 250022, Shandong, China
  • Received:2006-03-07 Published:2006-10-01 Online:2006-10-01

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摘要： 目的探讨脑瘫患儿粗大运动功能与脑瘫临床类型及合并症之间的关系。方法将126例脑瘫患儿采用粗大运动功能分类系统(GMFCS)对其粗大运动功能进行分级,然后分析与临床类型及合并症之间的关系。结果脑瘫患儿GMFCS分级水平与临床类型及合并症之间有显著相关关系(P<0.001);GMFCS分级显示,55.1%的痉挛型患儿为Ⅰ、Ⅱ级;53.8%的手足徐动型及85.7%的混合型患儿为Ⅳ、Ⅴ级;100%的偏瘫患儿和55.4%的双瘫患儿为Ⅰ、Ⅱ级;67.4%的四肢瘫和55.6%的双重瘫患儿为Ⅳ、Ⅴ级;智力水平在正常范围及边缘状态者多为Ⅰ、Ⅱ级,智力障碍程度越重,GMFCS分类级别越高;GMFCSⅢ、Ⅳ、Ⅴ级者合并的听觉、视觉、言语、摄食功能障碍及癫痫较Ⅰ、Ⅱ级者多。结论脑瘫患儿GMFCS分级与脑瘫类型及合并症有关,粗大运动功能障碍程度越重,合并症越多。

关键词: 脑性瘫痪, 粗大运动功能, 临床类型, 合并症

Abstract: ObjectiveTo investigate the correlation between the gross motor function and the clinical types and complications of children with cerebral palsy (CP).MethodsThe gross motor function of 126 CP children were measured by Gross Motor Function Classification System (GMFCS). Then the correlation between gross motor function, and clinical types and complications was analyzed.ResultsThere was a strong correlation between GMFCS and clinical types and complications ( P<0.001). GMFCS evaluation showed that 55.1% spastic children were categorized into levels Ⅰ and Ⅱ; 53.8% of dyskinetic and 85.7% of mixed children were categorized into levels Ⅳ and Ⅴ; 55.4% of diplegic and total hemiplegic children were categorized into levels Ⅰ and Ⅱ; 67.4% of tetraplegic and 55.6% complex hemiplegic children were categorized into levels Ⅳ and Ⅴ; 100% children with normal developmental quotient (DQ) and 91.6% above borderline of DQ were classified into levels Ⅰ and Ⅱ. The mental impairment was more severe; the levels of GMFCS were more higher. There were more visual impairment, hearing disorder, speech disability, feeding problem and epilepsy in children with levels Ⅲ, Ⅳ and Ⅴ than that with levels Ⅰ and Ⅱ.ConclusionThere is a significant correlation between GMFCS and clinical type and complications of CP, and the categorization of GMFCS is higher, the complications are more.

Key words: cerebral palsy, gross motor function, clinical type, complications