湖北省随州市病残儿医学鉴定10年回顾与对策研究  

Ten years of experience in the medical identification of disabled children in Suizhou city and the suggested countermeasures

作　　者：吴俊超[1] 胡傲容 杨洪清 刘军民[1] 石建华[1] 王茂芳 邓云 杨国华[5] 

机构地区：[1]湖北省随州市妇幼保健院,441300 [2]湖北省随州市疾控中心 [3]湖北省老河口市第一人民医院 [4]湖北省随州市人口和计划生育委员会 [5]武汉大学基础医学院医学遗传学系

出　　处：《中国计划生育学杂志》2012年第11期753-756,共4页Chinese Journal of Family Planning

基　　金：湖北省人口计生委出生缺陷病残儿遗传学诊断体系构建项目(JS-2011013)

摘　　要：目的:探讨现时期病残儿医学鉴定亟待解决的新问题,为改进鉴定工作及预防病残儿发生提供科学依据。方法:选取湖北省随州市2002年～2011年2798例报请病残儿鉴定的医学资料,采用SPSS19.0进行统计分析。结果:10年间申请鉴定的学龄儿童、高龄母亲、留守儿童、资料不全、定残、非遗传病致残数逐年增多。神经系统、心血管系统和运动系统位于非遗传病前3位,多基因遗传病位于遗传病致残首位。致残病因病种逐年增多,智力低下、脑性瘫痪、先天性心脏病、癫痫、大脑发育不全位于前5位。结论:适应病残儿变化的新形势,修订鉴定办法,完善诊断标准,加强部门合作,干预出生缺陷,建立基因诊断体系,对改进鉴定工作和预防病残儿发生具有重要意义。Objective ： To review the situation in the medical identification of disabled children in the past 10 years, hopefully providing evidence for the improvement of medical identification and prevention of disabled cases. Methods ： The data of 2,798 children that applied for identification of disability in Suizhou from 2002 to 2011 were retrospectively studied. Results： The number of application for the medical identification of a disability was increasing by year. Problems in nervous system, cardio- vascular system and motor system ranked at the top three in non - hereditary diseases, while polygene heredity diseases were the the top cause of genetic disability. More causes of disability were documented year by year. The top 5 disabilities were mental retardation, cerebral palsy, congenital heart disease, epilepsy, and cerebral hyperplasia. Conclusion： More and more cases of disability were submitted for the medical identification and documented in past 10 years, and the causes of disability are of more diversity. The procedures and protocols for medical identification should be improved accordingly. New technologies are suggested to be developed and applied, for the identification and prevention of disability.

关 键 词：病残儿 医学鉴定 遗传病 趋势分析 

分 类 号：R174[医药卫生—妇幼卫生保健]