我国六省(区)小儿脑性瘫痪患病率及临床类型的调查分析  

Prevalence and clinical classification of cerebral palsy of children in 6 provinces or autonomous region in China

作　　者：林庆[1] 李松[2] 刘建蒙[3] 张淑霞 洪世欣[3] 姜梅芳[5] 王太梅[2] 朱岩[6] 赵凤临[2] 钟佑泉[7] 梁友玲[8] 施荣富[9] 赵平[3] 李竹[3] 

机构地区：[1]北京大学第一医院儿科,100034 [2]北京大学第三临床医学院 [3]北京大学生育健康研究所 [4]齐齐哈尔第二医院 [5]苏州市妇幼保健所 [6]甘肃省卫生厅 [7]成都市儿童医院 [8]广西壮族自治区妇幼保健院 [9]河北省儿童医院

出　　处：《中华儿科杂志》2001年第10期613-615,共3页Chinese Journal of Pediatrics

基　　金：国家"九五"医学科技攻关计划基金部分资助( 96 90 4 0 6 0 3)

摘　　要：目的　调查我国 1～ 6岁小儿脑性瘫痪 (简称脑瘫 )患病率及临床各种类型的分布状况。方法　 1997年 5月～ 1998年 8月 ,对我国黑龙江、河北、甘肃、江苏、四川省及广西壮族自治区进行调查 ,以乡 (镇 )为单位进行整体抽样 ,对抽样乡 (镇 )全部 1～ 6岁小儿进行调查。在现场工作开始之前对所有参加调查的工作者进行统一培训 ,经考试合格后参加现场工作。资料经双重录入和统一清理后 ,在Pentium 133微机上用SAS 6 11forWindow软件 ,进行统计分析。结果　共调查 1～ 6岁小儿10 4732 7人 ,其中脑瘫患儿 2 0 0 9人 ,患病率为 1 92‰。在脑瘫各种类型中 ,痉挛型脑瘫最多见 ,占5 3 5 6 % ;以下依次为肌张力低下型 (13 39% )、共济失调型 (10 0 0 % )、手足徐动型 (4 6 3% )、震颤型(0 85 % )、强直型 (0 5 5 % )、混合型 (12 44 % )、分类不详 (4 5 8% )。 2 0 0 9例脑瘫中 ,男 12 6 6例 ,女 743例 ,男∶女 =1 70∶1。结论　本次调查结果大致能反映我国大陆地区小儿脑瘫的患病率为 1 92‰。Objective To investigate the prevalence and distribution of different types of cerebral palsy (CP) of children in 6 provinces or autonomous region in China Methods The investigators selected thc observing counties (towns) from Heilongjiang, Hebei, Gansu, Jiangsu, Guangxi, and Sichuan provinces by a group sampling survey and investigated all children of 1 6 years of age in these sampled counties (towns) CP was manifested in children by central motor dysfunction, dystonia and motor or static abnormal posture The authors also classified CP in different types All investigators had been trained and passed the exam together before being selected to engage in this work The data had been dual input and checked Statistical analysis was made using SAS 6 11 for Windows in PC computer Results There were 2 009 CP patients among 1 047 327 investigated children The total prevalence of CP was 1 92‰ In 2 009 CP cases, spastic type was 53 56%, hypotonic type 13 39%, ataxia type 10 00%, athetosis type 4 63%, tremor type 0 85%, tonic type 0 55%, mixture type 12 44% and unknown classification was 4 58%. Conclusion This investigation might approximately demonstrate the profile of CP in mainland of China The prevalence of CP was influenced by many factors The spastic type was the most common type of CP

关 键 词：脑性瘫痪 患病率 流行病学 儿童 

分 类 号：R748[医药卫生—神经病学与精神病学]