本文就国内开展的脑瘫早发现工作情况进行综述.目前临床常用检查方法包括神经学检查(Vojta姿势反射、婴儿运动里程碑、新生儿行为神经测定、全身运动质量评估)、影像学检查(头颅超声、CT、MRI)及电生理检查(脑干听觉诱发电位、脑电图、体感诱发电位),其中神经学检查作为临床常用评估方法,异常评估结果能一定程度预测脑瘫结局.全身运动质量评估近3年被引进国内,在预测痉挛型脑瘫方面有较高的特异度和敏感度.影像学及电生理检查可作为脑瘫诊断的参考,可发现器质性病变或并发其他功能低下.%The studies on early detection of cerebral palsy(CP) showed that neurological examinations(Vojta Posture Reflex,Infant Movement Milestone, Neonatal Behavioral Neurological Assessment, General Movement Assessment), imaging examinations (cranial B- ultrasonography, CT, MRI) and electrophysiologic examinations (Brainstem auditory evoked potentials, electroencephalogram, somatosensory evoked potentials) are in common use. General Movement Assessment was used in China three years ago,showing high sensitivity and specificity in predicting CP. Imaging examinations and electrophysiologic examinations can find organic diseases and other dysfunctions.
展开▼
