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伴神经元移行异常脑性瘫痪儿童的临床特征及疗效分析

赵勇 金炳旭 刘振寰

中国康复理论与实践2017,Vol.23Issue(4):433-437,5.
中国康复理论与实践2017,Vol.23Issue(4):433-437,5.DOI:10.3969/j.issn.1006-9771.2017.04.015

伴神经元移行异常脑性瘫痪儿童的临床特征及疗效分析

Clinical Characteristics and Efficacy Analysis of Children with Cerebral Palsy and Neuronal Migration Disor-ders

赵勇 1金炳旭 1刘振寰1

作者信息

  • 1. 广州中医药大学附属南海妇产儿童医院儿童神经康复科,广东佛山市528200
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摘要

Abstract

Objective To discuss the clinical characteristics and efficacy analysis of children with cerebral palsy and neuronal migration disorders (NMD) by retrospective analysis. Methods From June, 2005 to June, 2015, 32 children with cerebral palsy and NMD were en-rolled as NMD group, while 60 children with cerebral palsy with periventricular leukomalacia (PVL) as PVL group. Both groups received comprehensive rehabilitation for three months. Their clinical classification, complications of epilepsy or epileptiform discharges, the score of Gross Motor Function Measure (GMFM), and development quotient (DQ) were compared, as well as the follow-up results of six months. Results There was significant difference in the clinical classification of cerebral palsy between two groups (χ2=24.529, P<0.001). The inci-dence of epilepsy and epileptiform discharges was higher in NMD group than in PVL group (χ2>4.605, P<0.05). After treatment, the score of GMFM improved with time in both groups (Ftime=6.850, P=0.010), and was significantly lower in NMD group than in GMFM group (Fgroup=29.885, P<0.001);the scores of DQ in all the functional areas improved with time in both groups (Ftime>25.041, P<0.001), and were signifi-cantly lower in NMD group than in GMFM group (Fgroup>32.347, P<0.001). Conclusion Children with cerebral palsy and NMD are charac-terized by mental retardation, epilepsy and spastic hemiplegia, and poor outcome.

关键词

脑性瘫痪/神经元移行异常/脑室周围白质软化症/临床特征/临床疗效

Key words

cerebral palsy/neuronal migration disorders/periventricular leukomalacia/clinical characteristics/efficacy analysis

分类

医药卫生

引用本文复制引用

赵勇,金炳旭,刘振寰..伴神经元移行异常脑性瘫痪儿童的临床特征及疗效分析[J].中国康复理论与实践,2017,23(4):433-437,5.

中国康复理论与实践

OA北大核心CSCDCSTPCD

1006-9771

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