论文部分内容阅读
目的:探讨脑瘫发病和治疗的相关问题。方法:对2003年4月～2004年4月就诊于我院脑瘫康复门诊及新生儿科出院并在康复科随访患儿中确诊的脑瘫及中度以上中枢性协调障碍的病例资料进行分析。结果:脑瘫165例,中枢性协调障碍(中重度)64例,男女比为1.94∶1;随访组全部在1岁内得到诊断,早期诊断(6个月内)、超早期(3个月内)诊断随访组为86.54%、53.85%,门诊组为11.86%、2.82%,差异有极显著意义;脑瘫的前3位高危因素是缺氧(窒息)39.74%、早产(低出生体重)34.50%、病理性黄疸8.73%;合并智力低下、继发性癫痫及可疑癫痫、眼和视功能障碍、小头畸形、构音障碍的比例分别为76.97%、14.55%、10.91%、3.64%、3.03%。结论:切实做好婚前、孕期、围产期保健,正确处理分娩时的异常情况,积极救治高危新生儿,并对高危新生儿定期随访,能有效降低脑瘫的发生率;完善相关辅助检查有助于提高脑瘫的正确诊断率。
Objective: To investigate the related problems of cerebral palsy onset and treatment. Methods: The data of cases of cerebral palsy and moderate-above central coordination disorders diagnosed in our hospital from April 2003 to April 2004 were retrospectively analyzed. Results: There were 165 cases of cerebral palsy with central coordination disorder (moderate and severe) 64 cases, the ratio of male to female was 1.94:1. The follow-up group was all diagnosed within 1 year old, early diagnosis (within 6 months), ultra- ) Were 86.54% and 53.85% in the diagnosis follow-up group and 11.86% and 2.82% in the outpatient group, respectively. The first 3 risk factors for cerebral palsy were hypoxia (asphyxia) 39.74%, premature birth (low birth weight) 34.50% , Pathological jaundice was 8.73%. The rates of combined mental retardation, secondary epilepsy, suspicious epilepsy, ocular and visual dysfunction, microcephaly and dysarthria were 76.97%, 14.55%, 10.91%, 3.64% and 3.03% . CONCLUSIONS: Effectively conducting prenatal, perinatal, perinatal and postnatal care, correctly handling abnormalities during childbirth, actively treating high-risk newborns and regular follow-up of high-risk newborns can effectively reduce the incidence of cerebral palsy; and improving related auxiliary examinations To improve the correct diagnosis of cerebral palsy.