Asoh M
Division of Pediatrics, Johoku Branch Hospital, Tokyo Metropolitan Kita Medical Rehabilitation Center for the Handicapped.
No To Hattatsu. 1994 Sep;26(5):404-10.
Forty patients with cerebral palsy, who had been trained in our clinic and attained to walk in recent 10 years, were presented. Forty-five percent of the patients had a history of preterm delivery, and another 45% had no causes suggestive of cerebral palsy. The mean age of the initiation of practical walk was 2 years and 2 months, and that of spastic hemiplegia was 1 year and 10 months. About 60% of the patients with spastic hemiplegia visited our clinic because of abnormal gait. Their brain CT and EEG showed a higher incidence of abnormality than those in other types of cerebral palsy. The type of cerebral palsy and their IQ (DQ) level had no correlation with presence of epilepsy. About 60% of the cases showed normal IQ (DQ) level. Seventy percent of school-aged children belonged to public school, but they received no special training for their physical handicaps. Therefore it was necessary for our hospital to offer them rehabilitation therapy.
本文介绍了40例在我院接受训练并在最近10年内学会行走的脑瘫患者。45%的患者有早产史,另外45%没有提示脑瘫的病因。开始独立行走的平均年龄为2岁2个月,痉挛性偏瘫患者为1岁10个月。约60%的痉挛性偏瘫患者因步态异常前来我院就诊。他们的脑部CT和脑电图显示异常发生率高于其他类型的脑瘫。脑瘫类型及其智商(发育商)水平与癫痫的发生无关。约60%的病例智商(发育商)水平正常。70%的学龄儿童就读于公立学校,但他们没有因其身体残疾接受特殊训练。因此,我院有必要为他们提供康复治疗。