中国儿童保健杂志 ›› 2020, Vol. 28 ›› Issue (3): 269-272.DOI: 10.11852/zgetbjzz2019-0828

• 科研论著 • 上一篇    下一篇

脑瘫儿童和青少年粗大运动功能、手功能、沟通功能分级相关性分析

王新莹1, 徐伟健1, 史惟2, 涂梦娟1   

  1. 1 上海中冶医院儿童康复中心,上海 200941;
    2 复旦大学附属儿科医院康复科,上海 200032
  • 收稿日期:2019-06-12 出版日期:2020-03-10 发布日期:2020-03-10
  • 通讯作者: 徐伟健,E-mail:ying-ying1226@163.com
  • 作者简介:王新莹(1982-),女,河南人,主治医师,主要研究方向为儿童康复。
  • 基金资助:
    上海市宝山区科学技术委员会科技创新专项资金项目(16-E-29)

Correlation analysis of gross motor function, hand function and communication function in children and adolescents with cerebral palsy

WANG Xin-ying1, XU Wei-jian1, SHI Wei2, TU Meng-juan1   

  1. 1 Shanghai Zhongye Hospital, Shanghai 200941, China;
    2 Department of Rehabilitation, Children′s Hospital of FuDan University, Shanghai 200032, China
  • Received:2019-06-12 Online:2020-03-10 Published:2020-03-10
  • Contact: XU Wei-jian, E-mail: ying-ying1226@163.com

摘要: 目的 分析不同类型和年龄的脑瘫儿童和青少年的粗大运动功能、手功能及沟通功能受损情况及三大功能之间的相互关系,为临床制定康复干预目标和计划提供更多依据。方法 2018年1月-2019年3月应用中文版脑瘫粗大运动功能分级系统-扩展和修订版(GMFCS-ER)、中文版Mini手功能分级系统(Mini-MACS)及中文版MACS、中文版沟通功能分级系统(CFCS)对119例2~18岁脑瘫儿童和青少年进行粗大运动功能、手功能、沟通能力进行评定分级。结果 63.9%的儿童和青少年GMFCS分级和54.7%儿童和青少年CFCS分级处于Ⅰ级和Ⅱ级,52.9%的MACS分级为Ⅱ级和Ⅲ级,偏瘫患儿的三种功能大多集中在Ⅰ~Ⅲ级;119名对象中有22名 (18.5%)三种功能分级水平相同;三种功能分级间具有中等程度相关性(r=0.62~0.70,P<0.001)。结论 三个分级系统是相互补充且相互影响,仅使用一个功能分级系统并不能十分贴切地描述脑瘫儿童和青少年的整体活动功能状态。

关键词: 脑瘫, 粗大运动, 手功能, 沟通功能, 分级

Abstract: Objective To analyze the relationship between gross motor function, operation function and communication function impairment and three major functions of children and adolescents with different types and age,in oroler to proviole reference for making rehabilitation strategies. Methods The Chinese version of the cerebral palsy Gross Motor Function Classification System extended and revised version (GMFCS-ER), the Chinese version of mini-MACS and the Chinese version of Manual Ability Classification System (MACS), the Chinese version of Communication Function Classification System (CFCS) were used to perform gross motor function on 119 children and adolescents with cerebral palsy aged 2 to 18 years old.Hand function and communication ability were evaluated and graded. Results 63.9% of children and adolescents had a GMFCS grade and 54.7% had grade Ⅰ and Ⅱ CFCS,52.9% of grades were graded Ⅱ and Ⅲ, and most of the three functions of children with hemiplegia grade Ⅰ-Ⅲ.22 of the 119 subjects (18.5%) had the same levels of three functional grades.Three functional grades had a moderate correlation in assessing children with cerebral palsy (r=0.62-0.70, P<0.001). Conclusions The three grading systems complement each other and influence each other.The use of only one functional grading system does not describe the overall functional status of children and adolescents with cerebral palsy.

Key words: cerebral palsy, gross exercise, hand function, communication function, grade

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