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目的探讨脑瘫患儿的斜视与脑瘫型别、瘫痪类型、脑瘫程度及并发症之间的关系。方法选择2002-03—2004-06在河北医大二院和北京博爱医院住院的220例脑瘫患儿,采用角膜反光点法,由眼科医师测量其斜视程度。结果220例脑瘫患儿出现斜视48例,斜视率为21.8%。痉挛型脑瘫的斜视率25.6%,双瘫组的斜视率69.6%,轻度脑瘫斜视率35.6%,差异有显著性意义(P<0.05)。伴有癫发作、智力障碍、小头畸形患儿的斜视率比较差异无显著性意义(P>0.05)。结论不同型别、类型和程度的脑瘫患儿,其斜视率差异有显著性意义。斜视与大脑损伤部位有关。
Objective To investigate the relationship between strabismus and cerebral palsy type, paralysis type, cerebral palsy degree and complication in children with cerebral palsy. Methods From March 2002 to April 2004, 220 children with cerebral palsy who were hospitalized in Hebei Medical University Second Hospital and Beijing Pok Oi Hospital were examined by ophthalmologists for the degree of strabismus. Results 220 cases of children with cerebral palsy strabismus appeared in 48 cases, strabismus rate was 21.8%. Strabismus cerebral palsy strabismus rate of 25.6%, double paralysis group strabismus rate of 69.6%, mild cerebral palsy strabismus rate of 35.6%, the difference was statistically significant (P <0.05). There was no significant difference in strabismus between children with epilepsy, mental retardation and microcephaly (P> 0.05). Conclusion Different types, types and degrees of children with cerebral palsy have significant differences in their strabismus rates. Strabismus and brain damage related to the site.