早产脑损伤患儿并发脑性瘫痪的危险因素分析及预防对策  

Analysis of Risk Factors and Preventive Measures for Cerebral Palsy in Children with Premature Brain Injury

作　　者：闫艳[1] 于柱 李丽[1] YAN Yan;YU Zhu;LI Li(Department of Neonatology,Tai'an Central Hospital,Tai'an,Shandong Province,271000 China)

机构地区：[1]泰安市中心医院新生儿科,山东泰安271000

出　　处：《系统医学》2020年第18期147-149,共3页Systems Medicine

摘　　要：目的分析早产脑损伤患儿并发脑性瘫痪的危险因素,并在此基础上提出预防对策。方法选取该院2017年1月—2019年1月收治的315例早产脑损伤患儿为研究对象,按照患儿是否并发脑性瘫痪分为脑瘫组和未脑瘫组,制作《早产脑损伤并发脑性瘫痪影响因素调查表》,对两组资料进行分析。结果单因素分析结果显示,脑瘫组出生地[农村(61.20%)]、出生季节[春季+夏季(67.76%)]、出生体重[1.01.5(53.01%)]、单胎/多胎[单胎(85.79%)]、妊娠与分娩史[经产妇(55.74%)]、斜视[是(68.31%)]、头围[<正常值(60.11%)]分别大于未脑瘫组的39.39%(χ^2=14.614,P<0.05)、53.13%(χ^2=12.446,P<0.05)、14.39%(χ^2=51.575,P<0.05)、76.52%(χ^2=4.453,P<0.05)、42.42%(χ^2=5.437,P<0.05)、35.61%(χ^2=33.080,P<0.05)、28.03%(χ^2=31.707,P<0.05)。Logistic多元回归分析结果显示,早产脑损伤并发脑性瘫痪独立危险因素是头围<正常值、有妊娠与分娩史、出生体重<2.5 kg、肌张力≥Ⅰ+级及斜视。结论早产脑损伤患儿并发脑性瘫痪与头围、妊娠与分娩史、出生体重、肌张力及斜视等危险因素密切相关。Objective To analyze the risk factors of cerebral palsy in children with premature brain injury,and propose preventive measures on this basis.Methods 315 children with premature brain injury admitted to the hospital from January 2017 to January 2019 were selected as the research objects.According to whether the children were complicated with cerebral palsy,they were divided into cerebral palsy group and non-cerebral palsy group.Questionnaire on Influencing Factors of Sexual Paralysis,an analysis of the two groups of data.Results Univariate analysis showed that the birthplace of the cerebral palsy group[rural(61.20%)],birth season[spring+summer(67.76%)],birth weight[1.0~1.5(53.01%)],single birth/multiple births[single birth(85.79%)],history of pregnancy and childbirth[Merstrual women(55.74%)],strabismus[Yes(68.31%)],head circumference[<normal value(60.11%)]were greater than 39.39%of the non-cerebral palsy group(χ^2=14.614,P<0.05),53.13%(χ^2=12.446,P<0.05),14.39%(χ^2=51.575,P<0.05),76.52%(χ^2=4.453,P<0.05),42.42%(χ^2=5.437,P<0.05),35.61%(χ^2=33.080,P<0.05),28.03%(χ^2=31.707,P<0.05).Logistic multiple regression analysis showed that the independent risk factors for premature brain injury complicated with cerebral palsy were head circumference<the normal value,history of pregnancy and childbirth,birth weight<2.5 kg,muscle tension≥Ⅰ+,and strabismus.Conclusion Cerebral palsy in children with premature brain injury is closely related to risk factors such as head circumference,pregnancy and childbirth history,birth weight,muscle tension and strabismus.

关 键 词：早产脑损伤 脑性瘫痪 危险因素 预防对策 

分 类 号：R722[医药卫生—儿科]