脑性瘫痪临床分型观察及初探

The Observation and Preliminary Study of Clinical Classification of Cerebral Palsy

根据2015年最新发布的《中国脑性瘫痪康复指南》一书,将小儿脑瘫按临床表现分为痉挛型四肢瘫、痉挛型偏瘫、痉挛型双瘫、不随意运动型、共济失调型和混合型6型。笔者经过较严谨的理论推理,结合近十年对60例脑瘫患者的观察与治疗,发现这种分型方法在临床诊疗中存在一定的问题。笔者结合观察数据与理论推导总结出稍合理、完善的临床分型,即将脑性瘫痪按临床表现分为痉挛型、不随意运动痉挛型、共济失调痉挛型、共济失调不随意运动型和混合型。望这种分型方法能达成专家共识并推广应用,更有针对性地指导临床治疗,从而取得更好的疗效。

According to the latest book "Rehabilitation Guide of Cerebral Palsy in China" published in 2015,cerebral palsy is divided into spastic quadriplegia,spastic hemiplegia,spastic biplegia,involuntary sporty,ataxia and mixed type 6 according to clinical manifestations.After more rigorous theoretical reasoning,combined with the observation and treatment of 60 cases of cerebral palsy in recent ten years,the author found that there are some problems in the clinical diagnosis and treatment of this classification method.Combined with the observation data and theoretical derivation,the author summarized a slightly reasonable and perfect clinical classification.According to the clinical manifestations,cerebral palsy can be divided into spastic type,involuntary movement spastic type,ataxia spastic type,ataxia involuntary movement type and mixed type.It is hoped that this typing method can reach expert consensus and popularize application,and strive to guide clinical treatment more pertinence,so as to obtain better curative effect.