李湘云;宋宗先;栗艳芳;

• 1:郑州大学第三附属医院脑瘫康复中心

摘要(Abstract)：

目的分析脑性瘫痪的临床特征,以利于早期防治。方法对342例脑性瘫痪患儿(足月儿209例,早产儿133例)的高危因素、并发症、临床类型、影像学资料等进行回顾性分析。结果主要的高危因素依次为早产和低出生体质量,窒息、HIE(缺氧缺血性脑病)和黄疸。临床分型以痉挛型为主,其次是肌张力低下型、混合型和不随意运动型。痉挛型双瘫早产儿组高于足月儿组(χ2=41.845,P<0.05),肌张力低下型(χ2=18.655,P<0.05)和偏瘫型(χ2=9.290,P<0.05)足月儿组高于早产儿组。脑瘫患儿多合并智力低下、听视力障碍、癫等,足月儿与早产儿间无显著性差异(P>0.05)。84.21%有头颅影像学异常(CT/MRI),早产儿组脑室旁白质软化(PVL)较足月儿组高(χ2=69.957,P<0.05)。结论脑瘫患儿多有高危因素,并发症和影像学异常,早产儿与足月儿临床特征有明显不同。

关键词(KeyWords)： 脑性瘫痪;临床特征;早产儿;足月儿

Abstract:

Keywords:

基金项目(Foundation):

作者(Authors): 李湘云;宋宗先;栗艳芳;

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