中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (1): 26-29.DOI: 10.11852/zgetbjzz2018-0290

• 科研论著 • 上一篇    下一篇

沈阳市6~30月龄脑性瘫痪患儿头颅形状与智力发育关系分析

于聪1, 魏兵1, 廖世峨1, 刘亚丽1, 刘静1, 马学梅2, 戴明3, 王春南4, 魏克伦5   

  1. 1 沈阳军区总医院,辽宁 沈阳 110016;
    2 中国人民解放军第202医院,辽宁 沈阳 110003;
    3 辽宁省残疾人康复中心,辽宁 沈阳 110015;
    4 沈阳市儿童医院,辽宁 沈阳 110032;
    5 中国医科大学附属盛京医院,辽宁 沈阳 110004
  • 收稿日期:2018-03-14 出版日期:2019-01-10 发布日期:2019-01-10
  • 通讯作者: 魏兵,E-mail:weib71@sina.com
  • 作者简介:于聪(1989-),女,江苏人,在读硕士研究生,主要研究方向为婴幼儿神经系统发育及其治疗。

Analysis of the relationship between skull shape and intelligence development in 6 to 30 month-old children with cerebral palsy in Shenyang

YU Cong1, WEI Bing1, LIAO Shi-e1, LIU Ya-li1, LIU Jing1, MA Xue-mei2, DAI Ming3, WANG Chun-nan4, WEI Ke-lun5   

  1. 1 Shenyang Military Region General Hospital,Liaoning,Shenyang 110016,China;
    2 The 202th Hospital of the Chinese People's Liberation Army,Liaoning,Shenyang 110003,China;
    3 Liaoning Disabled Persons' Rehabilitation Center,Liaoning,Shenyang 110015,China;
    4 Shenyang Children's Hospital, Liaoning,Shenyang 110032,China;
    5 Shengjing Hospital of China Medical University,Liaoning,Shenyang 110004,China
  • Received:2018-03-14 Online:2019-01-10 Published:2019-01-10
  • Contact: WEI Bing,E-mail:weib71@sina.com

摘要: 目的 了解沈阳市6~30月龄脑瘫(CP)患儿的头颅形状,并分析其与贝利婴幼儿发育量表(BSID)中智力发育指数(MDI)之间的相关性,为促进CP患儿智力发育提供依据。方法 选取2017年2-9月就诊于沈阳市4家具有儿童脑康复科室的医院663例CP患儿为病例组,对照组为587例非CP婴幼儿,采用STAR激光扫描仪对受试对象进行颅形扫描,BSID评价智力发育水平。结果 1)病例组663名患儿头颅畸形发生率为40.7%,轻度及中重度畸形发生率分别为29.3%、11.4%;对照组587名幼儿头颅畸形发生率为31.7%,轻度及中重度畸形发生率分别为20.9%、10.8%。病例组头颅畸形率显著高于对照组(χ2=2.612,P<0.05),轻度和中重度畸形程度分级也高于对照组,差异有统计学意义(χ2=3.217、1.534,P<0.05)。2)BSID显示病例组中43.7%智力发育迟滞(MDI≤69),随着头颅畸形严重度增加,MDI逐渐降低,差异有统计学意义(χ2=0.025,P<0.05)。结论 头颅畸形与智力发育有关,可能是智力发育迟缓的一个风险指标,尤其在CP患儿。在儿童保健工作中医师及家长要重视头颅形状与智力发育的关系,重视对婴幼儿头形进行检查,减少头颅畸形发生率。

关键词: 头颅畸形, 斜头畸形, 脑性瘫痪, 智力发育迟滞, 婴幼儿

Abstract: Objective To understand the cranial shape of 6 to 30 month-old children with cerebral palsy (CP) in Shenyang,and to analyze its correlation with the mental development index (MDI) in the Bayley Infant Development Scale (BSID),in order to provide reference for promoting MDI in CP children. Methods Totally 663 CP children in four hospitals in Shenyang were selected as case group,and 587 non-CP children were selected as control group from February to September 2017. The STAR laser scanner performed a skull scan on the participants and the level of mental development was assessed with BSID. Results 1) The prevalence rate of cranial malformations was 40.7% in the 663 CP patients in the case group,29.3% and 11.4% for mild and moderately severe cases,respectively. The rate of cranial malformations was 31.7% in 587 non-CP children,20.9% and 10.8% for mild and moderately severe malformations. And the rate of cranial malformations in case group was significantly higher than that in control group (χ2=2.612, P<0.05),and so were for mild and moderately severe malformations (χ2=3.217,1.534, P<0.05). 2) Totally 43.7% of children in case group were screened as mental retardation (MDI≤69). And with the severity of head malformation increasing,MDI gradually decreased (χ2=0.025,P<0.05). Conclusions Cranial malformations are associated with mental development and may be a risk indicator of mental retardation,especially in children with CP. Medical staff and parents should pay attention to the relationship between skull shape and intelligence development,attach importance to the inspection of the head shape of infants,in order to reduce the incidence of skull deformity.

Key words: skull deformity, oblique head deformity, cerebral palsy, intellectual retardation, infants

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