小儿脑性瘫痪影响因素与临床类型的关系.docVIP

小儿脑性瘫痪影响因素与临床类型的关系 　　作者：张超,芮芳,唐久来,吴德,魏巍　　作者单位：安徽省教学重点课题(2006KJ1082A)　安徽省国际合作项目 230022 合肥 安徽医科大学第一附属医院小儿神经康复中心　238000 巢湖职业技术学院医学分院 　　【摘要】目的初步探讨小儿脑性瘫痪影响因素与临床类型的关系，为预防小儿脑瘫的发生和选择临床治疗措施提供更好的理论依据。方法 回顾性分析首次入院治疗的394例的脑瘫病例资料，并进行多因素分析。结果 临床类型构成比不相同，依次为痉挛型294例(74.62%)、肌张力低下型55例(13.96%)、混合型32例(8.12%)、不随意运动型12例(3.05%)、共济失调型1例(0.25%)，无强直型脑瘫。年龄段变化与脑瘫临床类型差异有统计学意义。以痉挛性脑瘫为参照，不随意运动型中黄疸，肌张力低下型中孕期出血、早产儿、产后窒息、剖宫产分娩及孕期不适当用药，混合型中孕期接触有毒物质、羊水多、早产儿、低体质量儿、黄疸等相关因素有统计学意义。结论 小儿脑瘫影响因素与小儿脑瘫临床分型之间有相关性，研究小儿脑瘫不同临床分型的影响因素对预防小儿脑瘫的发生、临床康复治疗、减轻伤残有重要意义。 　　【关键词】 脑性瘫痪;儿童;影响因素;临床类型 　　Factors of cerebral palsy and clinical type of relationship 　　Zhang Chao，Rui Fang，Tang Jiulai，et al 　　Department of Neurology and Rehabilitation of Children Center,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China 　　[Abstract] Objective To investigate the factors affecting children with cerebral palsy and clinical types of relevance for the prevention of the occurrence of cerebral palsy in children and selection of clinical measures to provide a better theoretical basis.Methods Rehabilitation center for children with cerebral palsy in 2006 ～ 2008 for the first time admitted to hospital 394 cases of cerebral palsy were retrospectively analyzed clinical data and conduct multivariate Logistic regression analysis. Results 394 cases of cases, male to female ratio 2.72∶1 Different clinical types of constituent ratio, followed by spastic 294 cases (74.62%), hypotonic 55 cases (13.96%), mixed type in 32 cases (8.12%), dyskinetic type 12 cases,(3.05%), ataxia type 1 cases (0.25%),no rigidity cerebral palsy. Age and clinical types of cerebral palsy There was a significant difference (P=0.043).With spastic cerebral palsy as a reference, in dyskinetic type jaundice, in hypotonic bleeding in pregnancy, premature children, subsequent to asphyxia, caesarean delivery and pregnancy inappropriate medication, mixed in exposure to toxic substances during pregnancy, amniotic fluid more ,