《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (12): 767-769.

• 临床研究 • 上一篇    下一篇

早产儿脑瘫的临床特征

侯梅; 赵建慧; 郭洪磊; 于荣; 李玉堂   

  1. 青岛市残疾儿童医疗康复中心 山东青岛市 266011
  • 收稿日期:2004-02-20 出版日期:2004-12-25 发布日期:2004-12-25

Clinical features of cerebral palsy of premature children

HOU Mei, ZHAO Jian-hui, GUO Hong-lei, et al   

  1. Qingdao Chilren’s Hospital, The Rehabilitation Center for Disabled Children, Qingdao 266011, Shandong, China
  • Received:2004-02-20 Published:2004-12-25 Online:2004-12-25

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摘要： 目的探讨早产儿脑瘫的临床特征,确定脑损伤的病因与时间,为早期病因预防提供依据。方法回顾性分析1999年10月—2002年10月在青岛市残疾儿童医疗康复中心住院治疗、出生胎龄不满37周的281例脑瘫患儿的围产期脑损伤高危因素、神经发育学评定、脑瘫类型及脑CT或MRI检查所见。结果早产儿脑瘫占同期脑瘫患儿的47.02%,有复合高危因素者占64.67%,其中以产时和新生儿因素为主,主要病因顺位依次为窒息、黄疸和双胎;主要的脑瘫类型为痉挛型双瘫,占70.81%,其次为徐动型、痉挛与徐动混合型;影像学特征性改变为脑室周围白质软化症(PVL)。结论早产是脑瘫的重要病因,损伤时间以产时和产后为主,特征性表现为痉挛型双瘫,PVL是早产儿脑瘫的主要病理类型。

关键词: 早产, 脑瘫, 临床特征, 预防

Abstract: ObjectiveTo explore clinical features of cerebral palsy of premature infants and attempt to deduce the etiology and time of brain damages.MethodsMaterials included perinatal risk factors, neurodevelopmental evaluation, types of cerebral palsy and CT or MRI findings of 281 cerebral palsied children embryo age less than 37 weeks were analyzed retrospectively.ResultsAmong 281 cases, 47.07% of them were premature infants and most of them (64.67%) suffered from multiple high risk factors especially during perinatal and post neonatal periods. The main causes were perinatal asphyxia, icterus, and twin pregnancy. Spastic diplegia was more common in this group (70.81%), followed by athetosis and mixed of spastic and athetosis. The characteristic of neuroimaging findings was periventricular leukomalacia (PVL).ConclusionFor cerebral palsy of premature children, pematurity is an important cause of cerebral palsy and brain damages are often occurred during perinatal and post neonatal periods, main type is spastic diplegia, and main pathological change is PVL.

Key words: prematurity, cerebral palsy, clinical features, precaution