Analyses of the short-term prognostic factors for recovery of independent walking in Guillain Barre syndrome in children
10.3969/j.issn.1000-3606.2018.03.005
- VernacularTitle: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
- Author:
Ruidi SUN
1
;
Xiaolu WANG
;
Jufang LIANG
;
Xiaoqing LUO
;
Ling CUI
;
Cheng LI
;
Zhisheng LIU
;
Juanjuan CHEN
;
Jun JIANG
Author Information
1. 武汉市妇女儿童医疗保健中心神经电生理室
- Keywords:
Guillain Barre syndrome;
independent walking ability;
short-term prognosis;
child
- From:
Journal of Clinical Pediatrics
2018;36(3):178-181
- CountryChina
- Language:Chinese
-
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.
