辽宁省3~14岁脑瘫患儿现状调查研究  

Investigation on the status of 3-14 years old children with cerebral palsy in Liaoning

作　　者：关丽君[1] 穆亚平[1] 王晓茵[2] 王爽[1] 曲笛[1] 李润洁 于阔 金妍[1] 董顶宝 Guan Lijun Mu Yaping Wang Xiaoyin Wang Shuang Qu Di Li Runjie Yu Kuo Jin Yan Dong Dingbao(Department of Physiatry, Shenyang Children＇s Hospital, Shenyang 110032, China)

机构地区：[1]沈阳市儿童医院康复科,110032 [2]中国医科大学附属盛京医院儿内科 [3]大连市妇女儿童医疗中心神经内科 [4]锦州市儿童医院儿内科

出　　处：《中国医师进修杂志》2017年第8期724-728,共5页Chinese Journal of Postgraduates of Medicine

基　　金：辽宁省科学计划项目（2013225002）

摘　　要：目的 对辽宁省3~14岁脑瘫患儿进行现状调查.方法 调查2013年1月至2016年10月于辽宁省14座城市中各市级医院、县级医院、社区医院进行康复治疗的1323例3~14岁脑瘫患儿.结果 3.0~3.9岁、4.0~4.9岁、5.0~5.9岁、6.0~6.9岁、7.0~7.9岁、8.0~8.9岁6个年龄段脑瘫患儿比例均在10%左右,其他年龄段比例均在7%左右.男女比例普遍集中在4：1左右;高危因素中新生儿惊厥252例（19.0%）,早产230例（17.4%）,低体质量儿187例（14.1%）,该3种高危因素比例在10%以上;脑瘫分型中痉挛型脑瘫患儿719例（54.3%）所占比例最高,共济失调型最低（2.9%）;合并症中智力落后患儿666例（50.3%）,所占比例最高,其次为语言障碍582例（44.0%）,其他合并症均在10%以下;粗大运动功能分级中以Ⅱ级（35.0%）和Ⅲ级（32.5%）患儿最多;就读患儿7.0%,享受医保患儿85.0%;城市户口69.0%,农村户口31.0%;母亲文化程度小学以下4.2%,于综合医院康复患儿占36.1%,儿童医院占60.1%,妇幼保健院占3.9%.结论 辽宁省内脑瘫患儿以痉挛型为主,高危因素主要包括新生儿惊厥、早产、低体质量儿,多合并智力低下及语言障碍,可作为进一步研究脑瘫防治工作的基础性资料.Objective To investigate the status on children of 3-14 years old who suffered from cerebral palsy in Liaoning province. Methods One thousand three hundred and twenty-three cases of children with cerebral palsy of 3-14 years old who received rehabilitation in city hospital, county hospital and community hospital were investigated from January 2013 to October 2016 in 14 cities in Liaoning Province. The proportion of cerebral palsy children in 3-4 years old, 4-5 years old, 8-9 years old, 5-6 years old , 6-7 years old and 7-8 years old was about 10%, and in the other age the proportion was about 7%. The proportion of men and women generally was 4：1;neonatal convulsion （252 cases, 19%）, premature delivery （230 cases , 17.3%） and low birth weight infant （187 cases, 14.1%） were main risk factors and accounted for more than 10%. Spastic type cerebral palsy accounted for the highest proportion （54.35%, 719 cases）and ataxia cerebral palsy accounted for the lowest proportion （2.95%）. In complications , lower intelligence accounted for the highest proportion （50.34%, 666 cases）, followed by the language barrier （43.99% , 582 cases）, and the other complications accounted for less than 10%.;gross motor function classification in most studied children was stageⅡ（35%） and stageⅢ（32.50%）; 6.95% patients could go to school, and 84.96% patients had health insurance. Patients coming from city accounted for 69.01%, and patients coming from rural area accounted for 30.99%. Mothers′ education below primary school was 4.16% . 36.05% children received rehabilitation in comprehensive hospital, 60.09%in children′s hospital and 3.85%in maternal and child health hospital. Conclusions Spastic cerebral palsy is the main type of children with cerebral palsy in Liaoning.High risk factors include neonatal convulsions, premature birth and low birth weight infants. Most patients complicate with low intelligence and language barriers.This paper can be used as the basis of further research on prevention

关 键 词：脑性瘫痪 现状调查 辽宁省 

分 类 号：R742.3[医药卫生—神经病学与精神病学]