《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (11): 1056-1059.

• 论文 • 上一篇    下一篇

早产儿脑性瘫痪并发症与瘫痪类型及粗大运动功能的关系

闫淑媛1，刘震宇2，匡晓妮1，钱红艳1，喻忠1   

  1. 1.长沙市妇幼保健院早教中心，湖南长沙市410007；2. 湖南省人民医院儿科，湖南长沙市410005。
  • 收稿日期:2012-08-27 修回日期:2012-10-10 出版日期:2012-11-25 发布日期:2012-11-25

Relationship between Complications and Neurologic Subtype or Gross Motor Function in Preterm Infants with Cerebral Palsy

YAN Shu-yuan, LIU Zhen-yu, KUANG Xiao-ni, et al.   

  1. Center of Early Education, Women and Children's Health Care Institute of Changsha City, Changsha 410005, Hunan, China
  • Received:2012-08-27 Revised:2012-10-10 Published:2012-11-25 Online:2012-11-25

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摘要： 目的分析早产儿脑性瘫痪并发症分布情况及其与脑瘫类型和粗大运动功能分级的关系。方法对135 例早产脑瘫患儿进行分型、粗大运动功能分级(GMFCS)、智力测定、语言评估、眼科学检查、脑干听觉诱发电位测试及脑电图检查。结果患儿并发各类并发症平均(2.10±1.33)个。不同类型脑瘫组间并发症数有非常高度显著差异性(F=5.50, P<0.001)。不同脑瘫类型间，智力低下及语言障碍发病率有显著差异性(P<0.05)；痉挛型中，四肢瘫患儿智力低下、语言障碍、视觉障碍及癫痫发生率较双瘫及偏瘫增加(P<0.05)。GMFCS Ⅰ~Ⅴ级组间，智力低下、语言障碍、视觉障碍及肌肉-骨骼障碍发生率有显著性差异(P<0.05)。2 岁以上不能行走(GMFCS Ⅳ~Ⅴ级)的脑瘫患儿并发症数显著高于能行走(GMFCS Ⅰ~Ⅲ级)的患儿(t=70.05, P<0.001)。结论智力低下、语言障碍、视力障碍、癫痫、肌肉-骨骼障碍及多重障碍的发生率与脑瘫类型和(或) 粗大运动功能分级有关。

关键词: 早产, 脑性瘫痪, 并发症, 分型, 粗大运动功能

Abstract: Objective To investigate the distribution of complications and the relationship with neurologic subtype and gross motor function in preterm infants with cerebral palsy (CP). Methods The type, grade of Gross Motor Function Classification System (GMFCS), intelligence,speech, ophthalmologic consultation, brainstem auditory evoked potential and electroencephalogram of 135 preterm infants with CP were reviewed. Results There were 284 complications in total, (2.10±1.33) per child, and was significantly different among various types of CP (F=5.50, P<0.001). The incidence of mental retardation and speech disorder was significant different among various types (P<0.05). The incidence of mental retardation, speech disorder, visual impairment and epilepsy increased significantly (P<0.05) in spastic quadriplegia infants,compared with those with diplegia and hemiplegia. The incidence of mental retardation, speech disorder, visual impairment and musculoskeletal disorder was significantly different (P<0.05) among various grades of GMFCS. The frequency of complications was more in children unable to walk (GMFCS Ⅳ~Ⅴ) than able to walk (GMFCS Ⅰ~Ⅲ) for children over 2 years old (t=70.05, P<0.001). Conclusion The incidence of mental retardation, speech disorder, visual and hearing impairment, secondary musculoskeletal disorder and the multiple disorders are related with neurologic subtype and/or the grade of GMFCS.

Key words: preterm, cerebral palsy, complications, neurologic subtype, gross motor function