临床儿科杂志 ›› 2018, Vol. 36 ›› Issue (3): 178-.doi: 10.3969/j.issn.1000-3606.2018.03.005

• 综合报道 • 上一篇    下一篇

儿童吉兰 - 巴雷综合征恢复独立行走能力的短期预后因素分析

孙瑞迪 1, 王晓璐 1, 梁菊芳 1, 罗小青 1, 崔琳 1, 李承 1, 刘智胜 2, 陈娟娟 3,  江军 1     

  1. 1.武汉市妇女儿童医疗保健中心神经电生理室(湖北武汉 430000);2.华中科技大学同济医学院附属 武汉儿童医院神经内科(湖北武汉 430000);3.十堰市太和医院儿科(湖北十堰 442000)
  • 收稿日期:2018-03-15 出版日期:2018-03-15 发布日期:2018-03-15
  • 基金资助:
    武汉市科技创新平台-儿童神经疾病临床医学研究中心资助项目(No.2014-160);院内课题支持项目(No.2017FE002)

Analyses of the short-term prognostic factors for recovery of independent walking in Guillain Barre syndrome in children

SUN Ruidi1, WANG Xiaolu1, LIANG Jufang1, LUO Xiaoqing1, CUI Ling1, LI Cheng1, LIU Zhisheng2, CHEN Juanjuan3, JIANG Jun1   

  1. 1. Department of Electrophysiology, Wuhan Children Hospital, Wuhan 421000, Hubei, China; 2. Department of neurology, WuHan children hospital, Wuhan 421000, Hubei, China; 3. Department of pediatric ,ShiYan tai he hospital, Shiyan 44200, Hubei, China
  • Received:2018-03-15 Online:2018-03-15 Published:2018-03-15

摘要:  目的 探讨儿童吉兰-巴雷综合征(GBS)的短期预后因素。方法 纳入125例GBS患儿,根据在出院后第 2个月和第6个月是否可以独立行走进行分组,并比较分析其临床资料。结果 125例患儿中男74例、女51例,平均年龄 (84.49±25.32)月, 6岁以下儿童41例。102例患儿有前驱感染病史。颅神经受累32例,自主神经受累35例。需要辅助呼 吸12例。出院后第2和第6个月,不能独立行走患儿的功能评分>3分、颅神经受累、神经电生理为失神经电位型的比例均 高于能独立行走的患儿,差异有统计学意义(P<0.05)。 结论 影响患儿短期预后的因素为神经电生理为失神经电位型, 颅神经受累及功能评分>3。应早期识别不同的患儿,并进行针对性康复训练,改善预后。

Abstract:  Objective To explore the prognostic factors in Guillain Barre syndrome (GBS) in children. Methods A total of 125 children with GBS were included and grouped according to their independent walking at two and six months after discharge, and their clinical data were analyzed. Results In 125 children (74 males, 51 females) the average age was 84.49±25.32 months, and 41 were under 6 years old. 102 children had a history of prodromal infections. 32 children had cranial nerve involvement and 35 had autonomic nerve involvement. 12 children need assisted respiration. At 2 and 6 months after discharge, when compared with children who could walk independently, the rates of  functional score > 3, cranial nerve involvement, and neuroelectrophysiology as denervation potential were higher in children who could not walk independently, and the differences were statistically significant (P all<0.05). Conclusions The factors that affect the short-term prognosis are denervation potential in neuroelectrophysiology, cranial nerve involvement, and functional score > 3. Early identification of uniqueness in patients and subsequent development of targeted rehabilitation training should be carried out to improve the prognosis.