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对 15 0例脑瘫患儿的头颅MR及智能发育进行了检测 ,结果表明 :MR 14例正常 ,136例异常 ,将MR成像结果与DQ及病因分别进行对比研究 ,发现MR异常者DQ发育明显落后于正常者。DQ异常率由高到低排列次序依次为脑发育畸形、脑室周围白质软化 (PVL)、脑萎缩、脑软化。引起脑瘫的主要病因为围产期脑损伤 (难产、新生儿缺氧缺血性脑病 (HIE)占第一位 ,早产、低体重占第二位 ) ,大脑先天发育畸形。故加强围产期保健 ,积极开展对产前各种有害因素的预防 ,减少畸形儿、未成熟儿及低体重儿的出生是降低脑瘫发病率的关键。
The head MR and intelligent development of 150 children with cerebral palsy were tested. The results showed that: MR 14 cases were normal and 136 cases were abnormal. The results of MR imaging were compared with those of DQ and etiology respectively. It was found that the development of DQ in patients with MR abnormality lags behind In normal people. DQ abnormalities ranked from high to low in order of brain malformations, periventricular leukomalacia (PVL), brain atrophy, brain softening. The main causes of cerebral palsy are perinatal brain injury (dystocia, neonatal hypoxic-ischemic encephalopathy (HIE) the first place, premature birth, low body weight accounted for second), the brain congenital malformations. Therefore, strengthening perinatal care, and actively carry out prevention of prenatal harmful factors, to reduce the birth of deformed children, immature children and low birth weight children is to reduce the incidence of cerebral palsy incidence key.