《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (5): 408-410.

• 论文 • 上一篇    下一篇

痉挛型双瘫脑性瘫痪患儿智力水平及智力结构分析

陈军,李玉堂,刘志翠,李媛   

  1. 青岛市妇女儿童医院神经康复科,山东青岛市266034。
  • 收稿日期:2013-11-07 修回日期:2014-01-10 出版日期:2014-05-25 发布日期:2014-05-25

Intelligence Level and Structure of Children with Spastic Diplegic Cerebral Palsy

CHEN Jun, LI Yu-tang, LIU Zhi-cui, et al.   

  1. Department of Rehabilitation, Qingdao Women and Children's Hospital, Qingdao 266034, Shandong, China
  • Received:2013-11-07 Revised:2014-01-10 Published:2014-05-25 Online:2014-05-25

摘要: 目的探讨痉挛型双瘫脑瘫患儿智力水平及智力结构情况。方法采用中国韦氏幼儿智力量表和中国韦氏儿童智力量表对67 例痉挛型双瘫脑瘫患儿(分低龄组、高龄组)进行测试。结果低龄组(≤6 岁5 个月)患儿平均总智商(71.10±15.95),高龄组(>6 岁5 个月)平均总智商(73.12±16.02),总智力低下率44.78%,低于脑瘫患儿的平均智力低下率。高龄组言语智商明显优于操作智商(P<0.01),Bannatyne 四因素中概念因素和获得因素的分测验得分高于空间因素和序列因素分测验(P<0.05)。结论痉挛型双瘫脑瘫患儿智力水平落后,但优于脑瘫患儿的平均智力水平,其智力结构存在不均衡现象。

关键词: 脑性瘫痪, 痉挛型双瘫, 智力, 智力结构

Abstract: Objective To investigate the intelligence level and structure of children with spastic diplegic cerebral palsy. Methods 67 children with spastic diplegic cerebral palsy were evaluated with Wechsler Preschool and Primary Scale of Intelligence and Wechsler Intelligence Scale for Children-Chinese Revised. Results The total intelligence quotients were (71.10±15.95) in the younger children (aged below 6 years and 5 months) and (73.12±16.02) in the older children (aged above 6 years and 5 months). The ratio of mental deficiency (44.78%) was less than that of children with cerebral palsy. For the older children, their verbal intelligence quotient was higher than performance intelligence quotient (P<0.01), and their scores of space and concentration factors were lower than that of conception and acquisition factors (P<0.05). Conclusion The intelligence development delayed in the children with spastic diplegic cerebral palsy, but better than that of children with cerebral palsy, with special structure.

Key words: cerebral palsy, spastic diplegia, intelligence, intelligence structure