脑性瘫痪患儿平衡功能的临床观察

目的使用Berg平衡量表(BBS)分析脑性瘫痪患儿的平衡功能。方法采用Berg平衡量表对134例脑性瘫痪患儿进行评估,依据患儿发病情况分为痉挛型偏瘫、痉挛型双瘫、不随意运动型脑瘫三组,进行平衡功能的观察。主要观察指标为静态评分、动态评分、量表总分。结果痉挛型偏瘫患儿、痉挛型双瘫患儿和不随意运动型脑瘫患儿三组患儿在静态评分、动态评分以及量表总分方面经统计学单因素方差分析,三组评分进行比较,差异均有统计学意义(P<0.01)。双瘫型组静态评分、动态评分、总评分与不随意运动型组比较,差异有统计学意义(P<0.05)。结论脑性瘫痪患儿中痉挛型偏瘫患儿平衡功能最好,痉挛型双瘫患儿次之,不随意运动脑瘫患儿平衡功能最差。

Clinical Observation of Balance Function in Cerebral Palsy Children

Objective To analyze children′s balance function of cerebral palsy with Berg balance scale.Methods 134 children with cerebral palsy,which were divided into three groups of spastic hemiplegia,spastic diplegia,dyskinetic cerebral palsy according to the patient situation,were evaluated by Berg balance scale.The primary outcomes were static score,dynamic score,total score.Results Statistically significant differences in static score,dynamic score and total scale inbetween the three groups of spastic hemiplegia,dpastic diplegia,and dyskinetic cerebral palsy children were observed(P<0.01).Spastic diplegia children′s static score,dynamic score,total score were statistically significantly different(P<0.05)compared with dyskinetic cerebral palsy children.Conclusion Spastic hemiplegia children′s balance function is the best,followed by spastic children and dyskinetic cerebral palsy children in succession.