目的 探讨学龄前脑性瘫痪儿童的营养不良状况及其与临床分型、分级之间的关系。方法 测量149例0～6岁脑性瘫痪住院患儿的身高、体重、血红蛋白值,计算其低体重、发育迟滞、消瘦及贫血率;并分析营养不良各项指标与脑瘫类型、临床分型、粗大运动功能分级(Gross Motor Function Classification System,GMFCS)之间的关系。与正常学龄前儿童的营养不良状况进行对比。结果 学龄前脑性瘫痪儿童低体重、发育迟滞、消瘦及贫血率分别为:31.54%、33.55%、41.28%、28.85%,其营养不良发生率均明显较正常儿童高。在不随意运动型脑瘫及痉挛型进行比较中,低体重及消瘦组差异存在统计学意义(P<0.05),发育迟缓与贫血在这两个组比较差异无统计学意义(P>0.05)。105例痉挛型脑性瘫痪儿童,其低体重、发育迟缓、消瘦、贫血的发生率分别为:26.6%、31.43%、24.76%、28.57%。营养不良与脑性瘫痪的分级在低体重、发育迟缓及消瘦分组中差异都有统计学意义(P<0.05)。结论 脑性瘫痪儿童的营养不良比正常学龄前儿童明显高。加强其营养不良的干预力度是非常有意义及势在必行的。

Objective To investigate the nutritional status of the preschool children with cerebral palsy and its relation between clinical types and the grade of Gross Motor Function Classification System (GMFCS). Methods The height,weight and Hb of 149 cerebral palsy preschool children were measured,rats of lowweight,growth retardation,emaciation and anaemia were calculated out,compared with normal nutrition status of preschool children. Results Malnutrition indicators of preschool children with cerebral palsy were significantly higher than normal children,and the lowweight,growth retardation,emaciation and anemia incidence rates were 31.54%,33.55%,41.28%,28.85%.In the involuntary movement and the spastic cerebral palsys' comparison,the lowweight and emaciation group difference had statistical significance (P<0.05).the lowweight、growth retardation,emaciation and anemia incidence rates of 105 children with spastic cerebral palsy were 26.6%,31.43%,24.76%,28.57%.Lowweight,growth retardation,emaciation group had statistical significance (P<0.05),and correlated with the grade of GMFCS. Conclusions Cerebral palsy children malnutrition rate is significantly higher than the normal preschool children.Cerebral palsy children nutrition situation is not optimistic,and strengthen nutritional intervention is very meaningful and imperative.