《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (10): 910-912.

• 论文 • 上一篇    下一篇

早产儿和足月儿脑性瘫痪类型及共患病比较

熊裕娟，刘娟，周洪涛，王跑球，覃蓉，张惠佳   

  1. 湖南省儿童医院康复二科，湖南长沙市410007
  • 收稿日期:2012-05-22 修回日期:2012-06-28 出版日期:2012-10-25 发布日期:2012-10-25
  • 通讯作者: 覃蓉

Types of Cerebral Palsy and Comorbidity between Premature and Full-term hildren

XIONG Yu-juan, LIU Juan, ZHOU Hong-tao, et al

  

  1. Hunan Children's Hospital, Changsha 410007, Hunan, China
  • Received:2012-05-22 Revised:2012-06-28 Published:2012-10-25 Online:2012-10-25

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摘要： 目的探讨早产和足月脑瘫患儿在脑瘫类型及共患病的差异。方法将233 例脑瘫患儿分为早产儿组(n=98)和足月儿组(n=125)，对两组脑瘫临床类型及共患病情况进行分析。结果高危因素主要顺序在早产儿组依次为低出生体重、黄疸、窒息、颅内出血、脐带绕颈；在足月儿组依次为窒息、黄疸、宫内窘迫、颅内出血、宫内感染。早产儿组痉挛型双瘫发生率显著高于足月儿组(P<0.001)，足月儿组痉挛型偏瘫发生率(P<0.01)明显高于早产儿组。除听觉障碍外(P<0.05)，早产儿和足月儿在智力障碍、癫痫、视觉障碍的共患病方面无显著性差异(P>0.05)。结论早产儿脑瘫临床类型以痉挛型双瘫为主，足月儿脑瘫以痉挛型偏瘫为主，早产儿脑瘫共患病中听觉障碍发生率高于足月儿。

关键词: 脑性瘫痪, 早产儿, 足月儿, 共患病, 临床分型

Abstract: Objective To discuss the differences of the types of cerebral palsy and the comorbidity between premature and full-term infants. Methods 233 children with cerebral palsy were divided into premature group (n=98) and full-term group (n=125). The types of cerebral palsy and the complications were analyzed. Results The high risk factors were low birth weight, jaundice, asphyxia, intracranial hemorrhage and cord around neck in sequence in the premature group, and were asphyxia, jaundice, fetal distress, intracranial hemorrhage and intrauterine infection in sequence in the full-term group. Besides auditory handicap. The frequency of spastic diplegia was higher in the premature group than in the full-term group (P<0.001), and the incidence of spastic hemiplegia was higher in the full-term group than in the premature group (P<0.01). There was no significant difference in dysgnosia, epilepsy and visual disturbance (P>0.05), but auditory handicap (P<0.05) between 2 groups. Conclusion The main clinical types of premature and full-term children with cerebral palsy were spastic diplegia and spastic hemiplegia respectively. The prevalence of auditory handicap was higher in preterm children

Key words: cerebral palsy, premature children, full-term children, comorbidity, clinical type