脑性瘫痪高危因素与临床类型的关系探讨

The correlation between the high risk factor and clinical type of cerebral palsy

目的:分析住院接受康复治疗的脑性瘫痪患儿高危因素和临床类型构成比及二者之间的关系。方法:对1997—2003年住院的615例随访患儿的高危因素与临床类型用卡方检验方法进行统计分析。结果:615例患儿中未成熟、窒息、黄疸分别占高危因素的33.9%、26.4%、25.7%。未成熟是痉挛型双瘫主要高危因素,占77.3%。黄胆病史患儿中,主要脑瘫类型为手足徐动型,占75.3%。窒息是四肢瘫、偏瘫、双瘫加徐动型脑瘫的主要高危因素,分别占各型患儿总数的64%、42.2%、47%。结论:脑瘫患儿的高危因素与临床类型明显相关,第一位高危因素是未成熟,第二位是窒息,黄疸是值得重视的高危因素之一。

Objective:To analyze the correlation between the high risk factors and clinical type in 615 cases of pediatric cerebral palsy. Method: 615 cases of pediatric cerebral palsy between 1997-2003 in our hospital were analyzed. Result:In the 615 cases the main reasons were immature spastic diplegia(77.3%),and the jaundice is athetosis(70.3%). The high risk factor of teraplegia(64%), hemiplegia(42.2%)and diplegic athetosis(47%) was asphyxia. There was evident correlation between them (P<0.001). Conclusion: For the pediatric cerebral palsy, the main high risk factor is immature,and the jaundice is also an important factor in the progression.Author′s address Dept. of Pathology, Qingdao People′s Hospital,266001