重庆市2~12岁脑瘫下肢痉挛性瘫痪儿童的疾病谱及治疗分析

Disease spectrum and treatment analysis of children with cerebral palsy and spasmodic paralysis aged 2-12 in Chongqing

目的探讨重庆市2~12岁因脑瘫后遗症发生肢体残疾的疾病谱及临床治疗分析。方法对2015-2018年重庆市2~12岁脑瘫肢残儿童进行筛查,然后集中治疗得出结论汇总信息。结果筛查出2~12岁脑瘫肢残儿童90%以上为腘绳肌挛缩、跟腱挛缩、内收肌挛缩。结论外科手术是治疗痉挛性脑瘫一种有效的方式,但须严格掌握适应证并根据每个患者的不同特点采取个性化手术方式。越早得到及时治疗合康复,其疗效越好。

Objective To discuss the spectrum of diseases and the analysis of clinical treatments,which are concerned with the 2-12 years old children who suffer from the extremity disability caused by the sequelae of cerebral palsy in Chongqing.Methods Screen the 2-12 years old children who suffer the sequelae of cerebral palsy in Chongqing during 2015-2018,and then arrive at a conclusion and summarize information after collective treatments.Results Screen out that hamstring spasm,achilles tendon contracture and ddductor contracture account for over 90%of the 2-12 years old children who suffer the sequelae of cerebral palsy.Conclusion Surgical operation is an effective way to treat spastic cerebral palsy,but it is necessary to strictly grasp the indications and adopt personalized operation according to the different characteristics of each patient.The earlier screening,treatment and the recovery the disabled children get,the better the curative effect would be.