南部地區腦性麻痺患童之探討

Cerebral Palsy Investigation in South Taiwan

王錦滿(Chin-Man Wang) ； 陳正岳(Cheng-Yueh Chen) ； 梁秋萍(Chau-Peng Leong) ； 黃美涓(May-Kuen Wong)

《中華民國復健醫學會雜誌》 20期 (1992/12) Pp. 113-118

摘要

本研究收集民國75年7月至民國80年9月，曾至高雄長庚醫院復健科門診治療之腦性麻痺患童，共計199例，並依其病因、神經肌肉受損型式、神經肌肉受損部位、神經肌肉受損程度及相關缺陷逐項探討之。結果發現，其病因中以產前因素居第一位，且早產為最多；神經肌肉之受損型式以痙攣型居首位；神經肌肉之受損部位以四肢麻痺型為最多；神經肌肉受損程度以中度者居多；具相關缺陷者佔47.2%，以癲癇為最多；而第一次求診的科別以小兒科佔最多。

關鍵字

腦性麻痺 ； 病因 ； 神經肌肉受損 ； 相關缺陷

並列摘要

In this retrospective study, 199 cases of cerebral palsy who lived in South Taiwan and once visited O.P.D of rehabilitation department from July 1986 to Sep. 1991 was collected.
The etiology of cerebral palsy were divided into prenatal, perinatal, postnatal factors by time series. The classifications of cerebral palsy were according to type, topography and severity of neuromuscular involvements.
The most common etiology in this study was prenatal factor, it was different from some previous studies ten years ago, in which perinatal cause was the majority. In the types of neuromuscular involvements, the spastic type (75.4%) was the major type and the quadriplegic type was the most topography of involvement. The order of severity was sequential as moderate, severe and mild. All these results were similar to previous study. In these cases, 47.2% (94/199) had associated disorders, such as seizure, strabismus, visual impairment, hearing impairment, cleft palate, hyperkinetic syndrome ect. Moreover, twenty cases had two associated disorders and one case even had three associated disorders.
Many cases were referred from other departments, especially most cases from the pediatrician. So good communication within each department is very important in the team of pediatric rehabilitation.