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目的探讨小儿脑性瘫痪的临床类型、伴发病、并发症及治疗情况及其之间的关系。方法对2004年1月~2007年1月在我院儿科门诊就诊的81例脑瘫患儿的临床分型、伴发病、并发症及治疗情况进行分析。结果脑瘫类型以痉挛型为最多共59例(72.2%),其次为肌张力低下型、混合型、共济失调型、不随意运动型。伴发病中智力低下和言语障碍发病率分别为65.4%和61.7%,其次为癫痫、听力障碍、视力障碍等。伴发疾病发病率与各种临床类型之间无明显差异。常见并发症有发育落后、营养不良、反复呼吸道感染、皮肤感染、外伤等。81例中有9例(11.1%)经过系统治疗。结论小儿脑瘫伴发病发病率与各种临床类型之间无明显差异,临床类型、伴发病与并发症及治疗效果之间密切相关。
Objective To investigate the clinical types, complication and treatment of children with cerebral palsy and the relationship between them. Methods From January 2004 to January 2007, 81 children with cerebral palsy who were treated in pediatric outpatient department of our hospital were analyzed for clinical classification, complication, complication and treatment. Results There were 59 cases (72.2%) of cerebral palsy with the most spasticity, followed by hypotonia, mixed type, ataxia type and involuntary exercise type. Incidence of mental retardation and speech disorders were 65.4% and 61.7%, followed by epilepsy, hearing impairment, visual impairment and so on. Incidence of morbidity and no significant difference between various clinical types. Common complications are lagging behind, malnutrition, recurrent respiratory infections, skin infections, trauma and so on. Nine of the 81 patients (11.1%) were treated systematically. Conclusion There is no significant difference between the incidence of cerebral palsy and the incidence of various clinical types in pediatric patients. There is a close correlation between the clinical type, complication and complications and the therapeutic effect.