《中国康复理论与实践》

《中国康复理论与实践》 ›› 2002, Vol. 8 ›› Issue (08): 491-494.

• 临床康复 • 上一篇    下一篇

导致小儿脑性瘫痪危险因素的探讨

何小英   

  1. 广州市康复中心 广东广州市 510630
  • 收稿日期:2002-06-28 出版日期:2002-08-25 发布日期:2002-08-25

Studies on dangerous factors causing child cerebral palsy

HE Xiao-ying   

  1. Guangzhou Rehabilitation Center, Guangzhou 510630, China
  • Received:2002-06-28 Published:2002-08-25 Online:2002-08-25

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摘要： 目的了解导致小儿脑瘫的危险因素,以便尽早诊断和治疗脑瘫,降低致残率。方法分析146例脑瘫患儿的发生、脑瘫类型及脑瘫并发症与患儿的性别、出生体重、是否早产、双胎、有否新生儿窒息、新生儿感染、核黄疸、母亲分娩时年龄、怀孕期间有否病毒感染史、有否先兆流产史、有否家族史等因素的关系。结果本组146例脑瘫患儿的男女之比为 1.47∶1,导致脑瘫发生的危险因素为低体重(占79.45%),早产(占64.38%),新生儿窒息史(占41.78%),母亲怀孕期间有先兆流产(占32.89%),双胎(占31.51%),新生儿感染(占12.33 %),核黄疸(占6.16%),高龄产妇(占3.42%),母亲孕期有感染史(占2.74%),有家族史(占0.68%)。脑瘫的类型及并发症与危险因素也有关。结论低体重儿、早产、新生儿窒息、双胎、母亲怀孕期间有先兆流产史是导致脑瘫发生的高危因素 ,加强对这些高危因素的宣教,使广大群众及医务工作者给予足够的重视,尽量避免危险因素的发生,对于已具有危险因素的小儿经常检查,及时发现脑瘫的症状和合并症,及早对其诊断、治疗,对降低脑瘫的致残率有重要意义。

关键词: 脑性瘫痪, 危险因素, 致残率

Abstract: ObjectiveTo understand dangerous factors causing child cerebral palsy and try to diagnose and treat cerebral palsy early, and decrease the ratio of cripple.MethodsTo analyze if the occurrence, style or complication of cerebral palsy having a relation to dangerous factors such as sexes, birth weight, premature delivery, twins, neonatal asphyxia, infection of newborn, nuclear icterus, mother's age, virus infection in the duration of pregnancy, threatened abortion and family history of cerebral palsy.ResultsThe ration of male and female is 1.47∶1 in 146 cases of child cerebral palsy. Factors causing cerebral palsy are low birth weight (79.45%), premature delivery (64.38%), neonatal asphyxia (41.78%), threatened abortion (32.89%), twins (31.53%), infection of newborn (12.33%), nuclear icterus (6.16%), parturient with advanced age (3.42%), having infection history in the duration of pregnancy (2.74%), and family history of cerebral palsy (0.68%). Both styles and complications of cerebral palsy have a relation to dangerous factors.ConclusionsThe low birth weight, premature delivery, neonatal asphyxia, twins and threatened abortion all are higher dangerous factors causing child cerebral palsy. In order to abstain the occurrence of these dangerous factors, it is important to educate people and doctors recognizing all dangerous factors. It is also helpful to lower the ratio of cripple that regularly examining child with dangerous factors, discovering symptoms and complications of cerebral palsy in time, and diagnosing and treating cerebral palsy as soon as possible.

Key words: cerebral palsy, dangerous factor, ratio of cripple