Objective To analyze the correlation of neurologic subtype and complications to gestational age and birth weight of preterm infants with cerebral palsy (CP). Methods A total of 135 cases of preterm infants with CP were received the following examinations:CP classification, intelligence capacity test, speech assessment, ophthalmologic consultation, brainstem auditory evoked potential and electroencephalogram.SPSS 11.5 software was used to analyze statistically. Results 1)There were 284 complications in total, and the average complication was (2.10±1.33) per child.2)The constitute ratio of CP, the incidence of spastic quadriplegia, mental retardation, speech disorder, visual impairment, musculoskeletal disorder , epilepsy and the number of complications of the group of <32-week were significantly higher than those of the group of 32~33-week, and/or that of the group of 34~36-week.3)The constitute ratio of CP, the incidence of spastic quadriplegia, mental retardation, speech disorder, visual impairment, musculoskeletal disorder epilepsy and the number of complications of the group of <1 500 g were significantly higher than those of the group of 1 500~2 499 g, and/or those of the group of ≥2 500 g. Conclusion The incidences of spastic quadriplegia, mental retardation, speech disorder, visual impairment, secondary musculoskeletal disorder epilepsy and multiple disorders are higher in the small gestational age preterm and very low birth weight infants.
Key words
preterm infants /
neurologic subtype /
complications /
gestational age /
birth weight
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 鲍秀兰.重视高危儿的发育风险和早期干预对策[J].中国儿童保健杂志, 2011, 19(5):393-397.
[2] 中国康复医学会儿童专业委员会, 中国残疾人康复协会小儿脑瘫康复专业委员会.小儿脑瘫的定义、分型和诊断条件[J].中华物理与康复医学杂志, 2007, 29(5):309-310.
[3] Rosenbaum PL, Palisano RJ, Bartlett DJ, et al.Development of the gross motor function classification system for cerebral palsy[J].Dev Med Child Neurol, 2008, 50:249-253.
[4] Palisano RJ, Rosenbaum PL, Bartlett DJ, et al.Content validity of the expanded and revised gross motor function classification system[J].Dev Med Child Neurol, 2008, 50:744-750.
[5] 陈秀洁.儿童运动障碍和精神障碍的诊断与治疗[M].北京:人民卫生出版社, 2009:636-637.
[6] Morris BH, Oh W, Tyson JE, et al.Aggressive vs conservative phototherapy for infants with extremely low birth weight[J].N Engl J Med, 2008, 359(18):1885-1896.
[7] Derrick M, Luo NL, Bregman JC, et al.Preterm fetal hypoxa-ischemia causes hypertonia and motor deficits in the neonatal rabbit:a model for human cerebral palsy?[J].J Neurosci, 2004, 24(1):24-34.
[8] Da Cunha Matta AP, Nunes G, Rossi L, et al.Outpatient evaluation of vision and ocular motricity in 123 children with cerebral palsy[J].Dev Neurorehabil, 2008, 11(2):159-165.
[9] Varghese RM, Sreenivas V, Puliyel JM, et al.Refractive status at birth:its relation to newborn physical parameters at birth and gestational age[J].PLOS One, 2009, 4(2):e4469.
[10] Rosenbaum P, Paneth N, Levion A, et al.A report:the definition and classification of cerebral palsy April 2006[J].Dev Med Child Neuol Suppl, 2007, 109:8-14.
[11] 刘建军, 吴卫红.脑瘫儿童内收肌痉挛的继发损伤与处理[J].中国康复理论与实践, 2010, 16(7):619-621.
[12] Carlsson M, Hagberg G, Olsson I.Clinical and aetiological aspects of epilepsy in children with cerebral palsy[J].Dev Med Child Neurol, 2003, 45(6):371-376.
[13] Senbil N, Sonel B, Aydin OF, et al.Epileptic and non-epileptic cerebral palsy:EEG and cranial imaging findings[J].Brain DEV, 2002, 24:166-169.
[14] Singhi P, Jagirdar S, Khandelwal N, et al.Epileptic in children with cerebral palsy[J].J Child Neurol, 2003, 18(3):174-179.
PDF(550 KB)
