痉挛型双瘫患儿智力结构特征及与运动发育相关性

目的 探讨痉挛型双瘫患儿的智力特征及与运动发育的相关性。方法 对46例患儿进行韦氏智力测查与运动发育里程碑评估，并与正常对照组进行比较。结果 痉挛型双瘫患儿智力明显低于对照组，尤其以操作智商明显，因子中以木块、迷津、下蛋等明显低下；操作智商与运动发育相关，运动里程碑延迟越明显，操作智商则越差；智力正常的双瘫患儿在下蛋、迷津、木块、概括亚项方面明显低于对照组，而语言智商与对照组无显著性差异。结论 痉挛型双瘫患儿智力结构不均衡，操作智商明显低下，主要与涉及手眼协调、视一运动协调和速度、空间视觉化能力的项目有关。

Intelligence Characteristics and Correlation with Motor Development of Children with Spastic Diplegia

ObjectiveTo investigate the intelligence characteristics and relativity with motor development of children with spastic diplegia.MethodsIntelligence and motor development of 46 children with spastic diplegia were tested by Wechsler Intelligence Scale and Motor Development Milestone (MDM), to find out difference of intelligence between the children with diplegia and the normal control group.ResultsIntelligence quotient (IQ) of children with spastic diplegia was lower significantly than the normal control, specially performance IQ (PIQ). PIQ was related with motor development. The more delayed motor development was, the more lower PIQ was. Subtest scores of animal egg, puzzle, block design and picture generalization were lower in spastic diplegic children with normal IQ than that of the normal control group, while vocabulary IQ (VIQ) was not different.ConclusionThe intelligence structure of children with spastic diplegia is imbalanced and PIQ of those children is significantly lower than the normal children, which is related to hands-eyes correspond, sight-motor correspond and speed, and space-sight ability.