小儿脑瘫高危因素与类型的相关性

目的:探讨小儿脑瘫不同类型与高危因素的相关性。方法:对935例小儿脑瘫患者的类型与高危因素之间的关系进行分析,结果:935例患者中痉挛型530例(56·7%)、混合型218例(23·2%)、手足徐动型(14·0%);高危因素中新生儿窒息409例(43·7%)、低出生体重282例(30·2%)、早产271例。痉挛型脑瘫以新生儿窒息为首位原因,达到54·0%;手足徐动型以黄疸最为常见,占67·9%;肌张力低下型以早产和妊娠用药较常见;共济失调型无明显特点;混合型以早产为首位原因(59·1%)。结论:小儿脑瘫最常见类型为痉挛型,其次是混合型和手足徐动型;前3位病因为新生儿窒息、低出生体重和早产,不同的高危因素所致脑瘫类型不同。

Study on the relationship between high-risk factors and type of CP

Objective:To study the relationship between different types and high-risk factors of infantile cerebral palsy (CP).Methods:Colleceted 935 cases infantile CP patients and analyzed the relationship between the type and high-risk factors Results:There were 530 spasticity(56.7%),218 mixed(23.2%),131 athetosis (14.0%). The high-risk factors had 409 neonatal asphyxia, 282 low birth weight and 271 premature birth. The first reason of Spastic cerebral palsy was neonatal asphyxia, to 54.0%; Jaundice often lead to athetosis,accounted for 67.9%; Atonia was often related with premature-birth and using dragee in pregnancy; Ataxia had no significant characteristics mixed was premature-birth(59.1%).Conclusion:The common type of CP is spasticity, the followed type are mixed and athetosis. The first effective reason is neonatal asphyxia, the second is low birth weight and the third is premature birth. Different high-risk factors lead to different types of CP.