脑瘫引起脊柱侧弯儿童体重、身体质量指数问题的现代观点：系统综述

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论证：许多作者认为，体重及其变化和身体质量指是小儿脑瘫脊柱侧弯矫治术后并发症的危险因素之一。然而，对于脑瘫患儿这一指标的分析，目前还没有一个明确的方法。

目的分析当前文献中脑瘫导致脊柱侧弯患儿的体重和身体质量指数的数据。

材料与方法。在PubMed、Web of Science、Scopus、MEDLINE、eLIBRARY、RSCI数据库和关键文章的参考书目中进行了系统的文献搜索。纳入标准：系统综述、荟萃分析、多中心研究、对照队列研究、脑瘫导致脊柱侧弯儿童的非控制队列研究，小儿脑瘫患者年龄为<20岁。排除标准：临床病例、观察、会议论文集、患者年龄为>20岁、其他病因的神经肌肉性脊柱侧弯。

结果。本综述最初纳入156篇文章，其中符合纳入标准的出版物25篇：3项系统综述和荟萃分析，3项以人群为基础的研究，1项多中心研究，11项对照队列研究，6项非控制队列研究，1项病例对照研究。

结论。脑瘫导致脊柱侧弯的儿童，体重和身体质量指数取决于功能活动。评价脑瘫儿童体重和身体质量指数最合适的参考指标是脑瘫儿童GMFCS分层生长图。体重不足和低身体质量指数（低于10%）
是脊柱侧弯手术矫正后增加并发症风险的因素。今后，为了对脑瘫儿童的人体测量指标进行更理想的
评估，有必要制定国家专门的百分位数表。

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作者简介

Elena Shchurova

National Ilizarov Medical Research Centre for Orthopaedics and Traumatology

编辑信件的主要联系方式.
Email: elena.shurova@mail.ru
SPIN 代码: 6919-1265

PhD, D.Sc. in Biology, leading researcher. Clinical Laboratory of the Clinic of Spine Pathology and Rare Diseases

俄罗斯联邦, Kurgan

Sergei Riabykh

National Ilizarov Medical Research Centre for Orthopaedics and Traumatology

Email: rso_@mail.ru
ORCID iD: 0000-0003-0816-1004

MD, PhD, D.Sc., orthopedic and trauma surgeon, Head of the Clinic of Spine Pathology and Rare Diseases

俄罗斯联邦, Kurgan

Egor Filatov

National Ilizarov Medical Research Centre for Orthopaedics and Traumatology

Email: filatov@ro.ru

MD, PhD, orthopedic trauma surgeon, junior researcher. Clinic of Spine Pathology and Rare Diseases

俄罗斯联邦, Kurgan

Polina Ochirova

National Ilizarov Medical Research Centre for Orthopaedics and Traumatology

Email: poleen@yandex.ru
ORCID iD: 0000-0001-5172-4429

MD, PhD, orthopaedic and trauma surgeon. Clinic of Spine Pathology and Rare Diseases

俄罗斯联邦, Kurgan

Tatyana Ryabykh

National Ilizarov Medical Research Centre for Orthopaedics and Traumatology

Email: rtatav@rambler.ru
ORCID iD: 0000-0002-9315-3035

MD, board-certified paediatrist

俄罗斯联邦, Kurgan

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