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目的提高对小儿脑性瘫痪(CP)合并功能障碍的认识。方法对290例CP患儿的病历资料进行回顾分析,通过统计分析患儿临床症状、体征、脑电图、脑干听觉诱发电位、智力测定、语言评定、眼科检查等,探讨CP合并功能障碍的发生情况。结果 290例CP患儿中单纯运动障碍79例(27.2%)。211例合并一种或多种功能障碍,其中智力低下178例(61.4%),以痉挛型、混合型CP为高;癫痫56例(19.3%),以痉挛型四肢瘫发病率最高;语言障碍152例(52.4%),语言发育迟缓者主要见于痉挛型,构音障碍多见于不随意运动型及共济失调型;斜视59例(20.3%),主要见于痉挛型四肢瘫、双瘫;听力障碍88例(30.3%),以不随意运动型发病率高。结论 CP多表现为重复障碍,应加强相关科室的协作,早期全面诊治。
Objective To improve understanding of children with cerebral palsy (CP) with dysfunction. Methods The data of medical records of 290 children with CP were retrospectively analyzed. The clinical symptoms, signs, EEG, brainstem auditory evoked potentials, intelligence test, language assessment and ophthalmology examination were analyzed statistically. What happened? Results A total of 290 cases of simple motor dysfunction in 79 children (27.2%). 211 cases combined with one or more dysfunction, of which 178 cases (61.4%) had mental retardation, high in spastic and mixed CP, 56 cases (19.3%) in epilepsy, with the highest incidence of spastic quadriplegia; Fifty-two cases (52.4%) had delayed speech development. Spasticity was mainly found in spasmodic type. Dysarthria was more common in involuntary motor type and ataxia. Strabismus was found in 59 cases (20.3%), mainly in spastic quadriplegia and double paralysis. 88 cases (30.3%) of the obstacles, with a high incidence of involuntary exercise. Conclusions CP often presents with repeated obstacles, and the cooperation of relevant departments should be strengthened and early comprehensive diagnosis and treatment should be carried out.