痉挛型双瘫的临床特征

目的：探讨痉挛型双瘫的临床特征，为脑功能的全面康复提供基础资料。方法：对５０ 例痉挛型双瘫患儿的临床资料进行回顾性分析。结果：５０ 例中３５ 例为早产儿（７０％），高危因素依次为早产、低体重、缺氧、硬肿症、颅内出血；１５ 例为足月儿（３０％），高危因素主要为窒息、缺氧缺血性脑病。５０ 例患儿运动神经功能异常，全部表现为骨盆带及下肢痉挛及由此所致的姿势异常，双上肢受累较轻。平均精细运动年龄１８．５ 个月，粗大运动年龄８．７５ 个月（Ｐ＜ ０．０１）。半数患儿同时合并斜视、语言发育迟缓和／ 或运动性构音障碍。结论：痉挛型双瘫的病因，运动神经系统表现具有特征性，对其正确的认识评价有助于康复计划的制订。

The characteristics of children with spastic diplegic cerebral palsy

To evaluate the clinical features of spastic diplegic cerebral palsy.Method:A retrospective study was performed to analyze the data of patients with spastic diplegia.Results:Of 50 patients,30 cases are premature infants(70%),whose mainly high risk factors are prematurity,low birth weight,hyposia,sclerema neonatorum and intracranial hemorrhage, 15 cases are full_term infants(30%)whose mainly high risk factors are asphyxia and hypoxia ischemicencephalopathy.Motor_neurological abnomities of 50 patients all express muscle spasm abnomal posture of pelvis and low limbs.Both upper limbs are better.The average coarse motor age is 8.75 months whereas the average fine motor age is 18.5 months(t=9.588,P<0.01).Half patients conbine strabismus, delayed language development and /or dysarthria.Conclu_sion:The etiology,mechanism and manifestation of spastic diplegia are Characteristic.Correct recognition and assessment is useful for making up rehabilitation plan.