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[高血压综合征在小儿脑性瘫痪晚期残留阶段临床方面的意义(基于超声脑电图数据)]

[Significance of the hypertensive syndrome in the clinical aspects of the late residual stage of infantile cerebral palsy (based on ultrasonic encephalographic data)].

作者信息

Semenova K A, Grechko V E, Shamarin T G

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(10):1478-82.

PMID:930494
Abstract

The report is concerned with an analysis of the results of an echoencphalographic study of 201 children with infantile cerebral paralysis in the form of spastic diplegia. The examined children were from 3-14 years with different degrees of motor disturbances and intellectual defects. The echoencephalograms in 22% of the cases detected a displacement of M-echo to 2 mm and more. In 20%--there were signs of a light dilatation of the III brain ventricle and in 41%--of moderate dilatation. A correlation of echoencephalographic data with clinical symptoms demonstrated that a displacement of M-echo signs of a dilation of the III ventricle are more frequently encountered in children with a more severe motor and intellectual deficiency. The authors studied the influence of a comprehensive treatment (medicamental therapy, therapeutic physical training, corrective training, physical and mental loadings on the liquorodynamic disbalance. The study demonstrates the informativeness of the echoencephalographic method not only in the detection of the hypertensive syndrome, but in defining the degree of its expressiveness and during the development of the hypertenensive syndrome under the influence of different therapeutical measures.

摘要

该报告涉及对201例痉挛性双侧瘫形式的小儿脑性瘫痪患儿进行脑回波描记术研究的结果分析。所检查的儿童年龄在3至14岁之间,有不同程度的运动障碍和智力缺陷。在22%的病例中,脑回波描记图检测到M波移位达2毫米及以上。在20%的病例中——有第三脑室轻度扩张的迹象,在41%的病例中——有中度扩张的迹象。脑回波描记术数据与临床症状的相关性表明,在运动和智力缺陷更严重的儿童中,M波移位和第三脑室扩张的迹象更常见。作者研究了综合治疗(药物治疗、治疗性体育训练、矫正训练、身心负荷)对脑脊液动力学失衡的影响。该研究表明,脑回波描记术方法不仅在检测高血压综合征方面具有信息价值,而且在确定其表现程度以及在不同治疗措施影响下高血压综合征发展过程中也具有信息价值。

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