小儿脑性瘫痪113例临床分析

本文对113例小儿脑性瘫痪病例进行临床分析,提示脑瘫是小儿神经门诊常见疾病,89.4％病儿可追问到发病因素,其中由各种原因引起的新生儿窒息52例(46％),新生儿惊厥25例(22.1％)。临床表现主要为不同程度的运动功能障碍,伴有智力低下93例(90％)。临床症状为非进行性,随着小儿的发育可自然改善,任何治疗方法也不能短期显效,最终留有不同程度残疾。应该在总结治疗经验的基础上,制定出切实可行的家庭康复治疗方案,才能使大多数患儿得到早期康复。另外,加强围产期保健措施,预防本病的发生有重要的社会意义。

CLINICAL ANALYSIS OF 113 CASES OF CHILD CEREBRAL PALSY

This paper analysed clinical data from 113 cases of cerebral palsy in children. The results suggested that the cerebral palsy was a common deseaes in outpatients at child neuropathic clinic. Pathogenic factors were studied in 101 (89.4%) of 113 patients with cerebral palsy. The cerebral palsy was caused by neonatal asphyxia in 52 cases (46%), and.by neonatal convulsion in 25 (22.1%). Clinical presentation was mainly non-progressive motor disorder accompanid by mental retardation in 93 cases (90%), which were naturally improved with development of children but left deformity in varying degrees. Therefore, it is important social significance to lay out a practical family rehabilitation scheme and to reinforce perinatal health measures.