| Purpose:In addition to movement disorders and abnormal posture, cerebral palsy accompanied by mental retardation,language barriers,hearing impairment,visual impairment,abnormal behavior,etc,cerebral palsy condition is more complex, brought great difficulties to clinical treatment. Therefore, pathogenesis and the treatment of cerebral palsy disease has important significance。Method:Looking for 327 cases of children with cerebral palsy of electronic medical records and related data collection in children’s Hospital of Shenyang City from January 2012 to December 2015,including: clinical type, chinese medicine type, GMFcs grading,Using SPSS17.0 statistical software to analyze the data.Results:1.The clinical data of 327 cases were included, there were 305 cases of children with comorbid illness, rate of 93.27%. The main comorbidity included: mental retardation in 206 cases(63%), epilepsy in 101 cases(30.89%), language disorder in 194 cases(59.33%), hearing loss in 31 cases(9.48%), visual impairment in 98 cases(29.97%)。 2. Each patient average comorbidity number are(2.92±0.60), and children with clinical types, GMFcs classification with correlation, in clinical types, to mixed type patients were sick species most. Children with different GMFcs classification, to class V is sick species most, with GMFcs lower grade, were sick species reduced compared with statistical significance(P < 0.05)。 3.Effects of different factors on the types of cerebral palsy 3.1Effect of TCM type of cerebral palsy: phlegm stasis block type cerebral palsy and mental retardation(100%), epilepsy(60%) comorbidity rate highest, liver and kidney deficiency type and language disorder comorbidity rate(94.74%) was significantly higher than that of other types, the difference was statistically significant(P < 0.05), liver and kidney deficiency type(32.63%) and strong liver spleen weak type(31.31%) with visual impairment rate were higher than that of spleen and kidney deficiency type two(10.53%) and sputum silt block type(13.33%), the difference was statistically significant(P < 0.05), liver and kidney deficiency type(18.95%) and two spleen and kidney deficiency type(15.79%) with hearing the failure rate was significantly higher than that of other types, the difference was statistically significant(P < 0.05) 3.2Effect of clinical type disease types of cerebral palsy: ataxia type cerebral palsy and mental retardation comorbidity rate(82.35%) higher than that of other types, the difference was statistically significant(P < 0.05), in spastic, a spastic quadriplegia(75%), with the highest rate higher than other spastic type, the difference was statistically significant(P < 0.05); spastic hemiplegia epilepsy with the highest proportion of 76.92%, higher than other types, the difference was statistically significant(P < 0.05); dyskinetic(93.33%) and mixed type(90.38%) cerebral palsy comorbid language disorders is higher than the proportion of other types, the difference was statistically significant(P < 0.05); spastic cerebral palsy with visual impairment with the highest rate(39.80%), among them, the highest proportion of spastic diplegia(43.56%), followed by spastic quadriplegia(33.33%) 3.3GMFcs classification type of disease of cerebral palsy: III and IV grade and five grade children with mental retardation with the highest rate was significantly higher than that of grade I and II patients, the difference was statistically significant(P < 0.05), compared with grade II, no significant difference(P > 0.05), III, comparison class IV and V level, no significant difference(P > 0.05); III, IV, V and the highest rate of children with comorbid epilepsy was significantly higher than that of grade I and II patients, the difference was statistically significant(P < 0.05), compared with grade II, the difference was statistically significant(P < 0.05) comparison, III and IV, V, no significant difference(P > 0.05); comorbid V-grade language disorder in children with the highest rate(70.07%), the lowest grade(30%), the difference was statistically significant(P < 0.05); grade I, II, III, IV, V co the rate of Respectively 30% and 29.41%, 28.85%, 33.33%, 28.47% and between groups is no significant statistical difference(P > 0.05); V grade children with hearing disorder comorbid rate(12.41%) is higher than other grades, and the difference is statistically significant(P < 0.05)Conclusion:1. The incidence of cerebral palsy was higher, reaching 93.27%. The main types include: mental retardation, epilepsy, language barriers, hearing impairment, visual impairment。 2. Different influencing factors on the types of co morbidity were different 2.1TCM syndrome type of comorbidity: sputum silt block type cerebral palsy should be alert to mental retardation, epilepsy, the type of deficiency of liver and kidney and liver spleen weak type cerebral palsy more complicated with visual impairment, type of deficiency of liver and kidney and spleen and kidney deficiency type cerebral palsy complicated with hearing impairment, liver and kidney deficiency type most easily with the language barrier 2.2Clinical types of comorbidity: ataxia type cerebral palsy should be wary of mental retardation, epilepsy of vigilance in children with spastic hemiplegic cerebral palsy, spastic diplegia pay attention to visual disorder, spastic quadriplegia notice of hearing impairment, not free movement type and mixed type patients should alert the language barrier, early diagnosis and Prevention 2.3Classification of GMFcs influence on comorbidity, higher in children with cerebral palsy GMFcs grading, possibility of mental retardation, epilepsy, language disorder, hearing impairment is large, poor level of motor function for children should be alert to total prevalence of。... |
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