脑性瘫痪合并症的临床研究

Exploration of cerebral palsy complication

目的 :探讨小儿脑性瘫痪的合并症原因及特点。方法 :回顾性分析 1992 - 1999年间资料完整的 385例住院脑瘫患儿。结果 :合并癫痫 5 8例 (15 .0 6 % )、智力低下 2 91例 (75 .5 8% )、语言障碍 (2岁以上 ) 139例 (73 .5 5 % )、听觉异常 43例 (31.6 % )、斜视 79例 (2 0 .5 % ) ;主要原因为窒息、早产及低出生体重儿、高胆红素血症、妊娠期感染、颅内出血 ;痉挛型四肢瘫合并症最多。结论 :脑性瘫痪是一种脑损伤引起的多重表现的复合征 。

Objective:To explore the causes and characters of complication of cerebral palsy(CP).Method:385 cases with CP were identified and analysed retrospectivly from 1992 to 1999.Result:58 cases with epilepsy(15.06%),291 cases with mental retardation(75.78%),139 cases with language impairment(over 2 years)(73.55%),43 cases with hearing impariment(31.6%),79 cases with squint(20.5%).Main risk factors of CP:asphyxia,premature and low-birth weight,hyperbilirubinemia,gestration infection,intracranial hemorrhage.The patients with spastic quadriplegia of CP have the most complication.Conclusion:CP is a syndrom caused by brain damage,whose diagnosis,therapy and rehabilitation needs the cooperation of clinical multi-disciplines. Author′s address\ Dept. of Pediatrics,Shanxi Medical University,Taiyuan,030001