痉挛性脑瘫46例临床分析

目的调查46例痉挛性脑瘫患者发病高危因素,并观察采用综合方法治疗此类患者的近期效果。方法应用术前康复训练＋选择性脊神经后根切断术＋术后康复训练（综合方法）治疗痉挛性脑瘫,并给予随访1-3年。结果痉挛性脑瘫患者发病高危因素分别为早产、窒息及早产合并低体重,应用综合方法治疗近期优良率93%以上。结论痉挛性脑瘫患者患病有流行病学特点,应用综合方法治疗痉挛性脑瘫近期疗效满意,应严格掌握手术指征。

Clinical study on 46 cases of spastic cerebral palsy

Objective To investigate risk factors of 46 cases of patients with spastic cerebral palsy and observe short-term effect of the integrated approach in the treatment of the patients. Methods Preoperative rehabilitation training ＋ selective posterior rhizotomy surgery ＋ postoperative rehabilitation training （ an integrated approach ） was adopted in the treatment of spastic cerebral palsy,which was followed up for 1 - 3 years. Results The incidence risk factors of spastic cerebral palsy patients ineluded premature birth, asphyxia and premature low birth weight. Application of integrated approach contributed to a short-term fine rate of more than 93%. Conclusion The patients of spastic cerebral palsy show epidemic characteristics. The application of the integrated approach to treat spastic cerebral palsy has satisfactory outcome. Surgical indications should be strictly ob- served.