《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (4): 340-343.

• 论文 • 上一篇    下一篇

国内脑性瘫痪早期预测工具综述

龚春丹1 综述，杨红2 审校   

  1. 1.上海市闵行区妇幼保健院儿童保健科，上海市 201102；2.复旦大学附属儿科医院康复科，上海市 201102。
  • 收稿日期:2010-11-29 修回日期:1900-01-01 出版日期:2011-04-25 发布日期:2011-04-25
  • 通讯作者: 杨红

Early Detection Tools for Cerebral Palsy (review)

GONG Chun-dan, YANG Hong.   

  1. Minhang Maternal and Child Health Hospital, Shanghai 201102, China
  • Received:2010-11-29 Revised:1900-01-01 Published:2011-04-25 Online:2011-04-25

PDF (PC)

被引次数

24

摘要： 本文就国内开展的脑瘫早发现工作情况进行综述。目前临床常用检查方法包括神经学检查(Vojta姿势反射、婴儿运动里程碑、新生儿行为神经测定、全身运动质量评估)、影像学检查(头颅超声、CT、MRI)及电生理检查(脑干听觉诱发电位、脑电图、体感诱发电位)，其中神经学检查作为临床常用评估方法，异常评估结果能一定程度预测脑瘫结局。全身运动质量评估近3年被引进国内，在预测痉挛型脑瘫方面有较高的特异度和敏感度。影像学及电生理检查可作为脑瘫诊断的参考，可发现器质性病变或并发其他功能低下。

关键词: 脑性瘫痪, 早期预测, 全身运动质量评估, 电脑断层扫描, 磁共振成像, 头颅超声, 脑干听觉诱发电位, 脑电图, 体感诱发电位

Abstract: The studies on early detection of cerebral palsy(CP) showed that neurological examinations(Vojta Posture Reflex, Infant Movement Milestone, Neonatal Behavioral Neurological Assessment, General Movement Assessment), imaging examinations (cranial B-ultrasonography, CT, MRI) and electrophysiologic examinations (Brainstem auditory evoked potentials, electroencephalogram, somatosensory evoked potentials) are in common use. General Movement Assessment was used in China three years ago, showing high sensitivity and specificity in predicting CP. Imaging examinations and electrophysiologic examinations can find organic diseases and other dysfunctions.

Key words: cerebral palsy, early detection, General Movement Assessment, Computed Tomography scan, Magnetic Resonance Imaging, cranial ultrasonography, brainstem auditory evoked potentials, electroencephalogram, somatosensory evoked potentials