目的：探讨痉挛型双瘫脑瘫患儿智力水平及智力结构情况。方法采用中国韦氏幼儿智力量表和中国韦氏儿童智力量表对67例痉挛型双瘫脑瘫患儿(分低龄组、高龄组)进行测试。结果低龄组(≤6岁5个月)患儿平均总智商(71.10±15.95)，高龄组(>6岁5个月)平均总智商(73.12±16.02)，总智力低下率44.78%，低于脑瘫患儿的平均智力低下率。高龄组言语智商明显优于操作智商(P<0.01)，Bannatyne四因素中概念因素和获得因素的分测验得分高于空间因素和序列因素分测验(P<0.05)。结论痉挛型双瘫脑瘫患儿智力水平落后，但优于脑瘫患儿的平均智力水平，其智力结构存在不均衡现象。%Objective To investigate the intelligence level and structure of children with spastic diplegic cerebral palsy. Methods 67 chil-dren with spastic diplegic cerebral palsy were evaluated with Wechsler Preschool and Primary Scale of Intelligence and Wechsler Intelli-gence Scale for Children-Chinese Revised. Results The total intelligence quotients were (71.10±15.95) in the younger children (aged below 6 years and 5 months) and (73.12±16.02) in the older children (aged above 6 years and 5 months). The ratio of mental deficiency (44.78%) was less than that of children with cerebral palsy. For the older children, their verbal intelligence quotient was higher than performance intel-ligence quotient (P<0.01), and their scores of space and concentration factors were lower than that of conception and acquisition factors (P<0.05). Conclusion The intelligence development delayed in the children with spastic diplegic cerebral palsy, but better than that of children with cerebral palsy, with special structure.
展开▼
