不同临床分型的脑性瘫痪患儿粗大运动功能分析

Analysis of gross motor function in children with cerebral palsy of different clinical types

目的分析不同临床分型的脑性瘫痪患儿粗大运动功能。方法抽取2018年5月至2020年5月驻马店市中心医院收治的脑性瘫痪患儿218例,回顾性统计其临床分型及粗大运动功能分级系统(GMFCS)分级情况,并分析其差异性。结果218例脑性瘫痪患儿临床分型中,居前三位者依次为痉挛型双瘫、痉挛型四肢瘫、痉挛型偏瘫,占比分别为34.86%(76/218)、28.44%(62/218)、22.48%(49/218)。GMFCS分级中,痉挛型偏瘫集中于Ⅰ、Ⅱ级,痉挛型双瘫集中于Ⅰ、Ⅱ、Ⅲ级,痉挛型四肢瘫集中于Ⅳ级、Ⅴ级,不随意运动型、共济失调型集中于Ⅲ级、Ⅳ级,经比较差异有统计学意义(Z=4.779,P<0.05)。结论痉挛型脑性瘫痪较常见,痉挛型偏瘫患儿为低级别GMFCS,痉挛型四肢瘫患儿GMFCS高级别占比偏高。

Objective To analyze the gross motor function in children with cerebral palsy of different clinical types.Methods A total of 218 children with cerebral palsy admitted to Zhumadian Central Hospital from May 2018 to May 2020 were selected.The clinical classification and gross motor function classification system(GMFCS)classification were retrospectively counted,and their differences were analyzed.Results Among the clinical classification of 218 children with cerebral palsy,the top three were spastic diplegia,spastic tetraplegia,and spastic hemiplegia,accounting for 34.86%(76/218)and 28.44%(62/218),22.48%(49/218)respectively.In the GMFCS classification,spastic hemiplegia was concentrated in gradeⅠandⅡ,spastic diplegia was concentrated in gradeⅠ,Ⅱ,andⅢ,spastic tetraplegia was concentrated in gradeⅣandⅤ,and involuntary movements and ataxia were concentrated in grade III and IV,the difference was significant after comparison(Z=4.779,P<0.05).Conclusions Spastic cerebral palsy is more common,children with spastic hemiplegia have low-grade GMFCS,and children with spastic tetraplegia have a high proportion of GMFCS.