小儿脑瘫常见并发症的临床分析

Clinical analysis of complications in children with cerebral palsy

目的对脑瘫患儿常见并发症的发生率进行分析,为临床的早期治疗和预防提供资料。方法脑瘫患儿80例,神经学检查评价脑瘫类型以及并发症诊断,并进行头部MRI检查、视听诱发电位检测及脑电图检测。结果80例中不同类型脑瘫并发症60例(75%),其中摄食困难、智力低下、语言障碍等并发症占多数。混合型脑瘫的并发症发生率最高(85%)。头部MRI异常率74.5%,以脑室周围白质软化症最多(45.1%)。结论早期注重婴幼儿摄食技能的发育监测.干预和改善其智能水平,促进语言发育,积极控制癫痫发作,可以降低并发症的发生率。

Objective To investigate the prevalence rate of complications in children with cerebral palsy （CP）. Methods 80 CP children were recruited. Their parents were interviewed for high risk factors and feeding history. Each case was assessed neurologically for type of CP and diagnosed for complications. And all cases were detected by magnetic resonance imaging（MRI） of the brain. Results Among 80 patients, 60 cases（75 % ） suffered from complications, the majority patients had difficulty in taking in food ,intelligence retardation, hearing impediment and vision impediment. The prevalence rate of complications with mixed CP was 85 %. MRI abnormalities of the brain were accounted for 74.5 % and periventrieular leakomalacia（PVL） was more common（45.1% ）. Conclusion This study suggested timely rehabiliatation and interventions must be started to significantly improve the levels of intelli-gence. And the epilepsy and nonepileptic events must be identified to avoid mistakes in diagnosis.