Cerebral palsy: a comprehensive review.
Cerebral palsy: a comprehensive review.
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DOI：
10.1097/00006205-199602000-00004
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发表时间：
1996-02-01
期刊：
影响因子：
--
通讯作者：
Yucha, C B
中科院分区：
文献类型：
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作者：
Dzienkowski, R C;Smith, K K;Yucha, C B
脑瘫是一种广泛的静态，非进行性运动残疾，从出生或幼儿期开始，由于中枢神经系统的神经运动成分损伤而出现。运动表现通常是通过大脑皮层、丘脑、基底神经节、脑干、小脑、脊髓之间的通信和通信感觉-运动通路来协调的。这个复杂的网络导致许多不同层面的伤害。病因很多，可以发生在产前，围产期和产后时期。神经功能缺损的严重程度和临床表现根据原始损伤的时间、部位和性质而不同。为了系统地接近脑瘫，初级保健医生必须准备认识神经运动缺陷，诊断和分类疾病的类型，并实施有条不紊的治疗计划。本文旨在回顾脑性瘫痪的病因、病理生理学、诊断分类（瑞典系统）、临床表现和治疗管理，并准备高级实践护士来照顾个人和家庭。
Cerebral palsy is a broad range of static, nonprogressive motor disabilities that present from birth or early childhood as a result of injury to neuromotor components of the central nervous system. Motor performance is normally coordinated via communication between the cerebral cortex, thalamus, basal ganglia, brain stem, cerebellum, spinal cord, and communicating sensori-motor pathways. This complex network lends itself to injury at many different levels. Etiologies are numerous and can occur during the prenatal, perinatal, and postnatal periods. The severity of the neurologic deficit and the clinical manifestations are varied depending on the time, location and nature of the original injury. In order to approach cerebral palsy systematically, the primary health care practitioner must be prepared to recognize neuromotor deficits, diagnose and classify the type of disorder, and implement a methodical treatment plan. The purpose of this article is to review the etiology, pathophysiology, diagnostic classification (Swedish system), clinical manifestations, and therapeutic management of cerebral palsy and prepare the advanced practice nurse to care for the individual and family.