CAJ | 학술논문

目的调查河南省新乡地区小儿脑性瘫痪(脑瘫)的患病现状及相关危险因素,为进一步研究脑瘫病因及预防工作提供基础资料.方法在河南省新乡地区对1～6岁儿童的脑瘫患病现状进行整群抽样调查,资料经整理,采用SPSS 13.0统计软件进行分析.结果新乡地区1～6岁小儿脑瘫患病率为2.82‰,各年龄组患病率分布在2.46‰～ 3.11‰(x2 =0.374,P=0.996);男童患病率高于女童,性别比为1.09∶1.00(x2=0.139,P=0.709);城区略低于农村(x2 =0.526,P=0.769),但差异均无统计学意义.孕期未建立围生保健手册及接受指导儿童脑瘫患病率是建立围生保健手册及接受指导儿童的5.86倍,差异有统计学意义(x2=116.806,P=0.000);孕期未定期接受产前检查儿童脑瘫患病率是定期接受产前检查儿童的5.37倍,差异有统计学意义(x2=43.904,P=0.000);出生后无新生儿随访儿童脑瘫患病率是新生儿随访儿童脑瘫患病率的8.55倍(x2=68.987,P=0.000);出生后如发现儿童发育异常不能及时就医诊治是及时就医诊治儿童脑瘫患病率的5.39倍,差异有统计学意义(x2=56.003,P=0.000).在脑瘫分类构成中,痉挛型最多,占42.1％;其次为不随意运动型,占24.6％;混合型,占18.8％;共济失调型占14.5％.结论本次调查结果基本能反映新乡地区1～6岁小儿脑瘫目前的患病现状,可作为进一步研究脑瘫防治工作的基础性资料.
목적 조사하남성신향지구소인뇌성탄탄(뇌탄)적환병현상급상관위험인소,위진일보연구뇌탄병인급예방공작제공기출자료.방법 재하남성신향지구대1～6세인동적뇌탄환병현상진행정군추양조사,자료경정리,채용SPSS 13.0통계연건진행분석.결과 신향지구1～6세소인뇌탄환병솔위2.82‰,각년령조환병솔분포재2.46‰～ 3.11‰(x2 =0.374,P=0.996);남동환병솔고우녀동,성별비위1.09∶1.00(x2=0.139,P=0.709);성구략저우농촌(x2 =0.526,P=0.769),단차이균무통계학의의.잉기미건립위생보건수책급접수지도인동뇌탄환병솔시건립위생보건수책급접수지도인동적5.86배,차이유통계학의의(x2=116.806,P=0.000);잉기미정기접수산전검사인동뇌탄환병솔시정기접수산전검사인동적5.37배,차이유통계학의의(x2=43.904,P=0.000);출생후무신생인수방인동뇌탄환병솔시신생인수방인동뇌탄환병솔적8.55배(x2=68.987,P=0.000);출생후여발현인동발육이상불능급시취의진치시급시취의진치인동뇌탄환병솔적5.39배,차이유통계학의의(x2=56.003,P=0.000).재뇌탄분류구성중,경련형최다,점42.1％;기차위불수의운동형,점24.6％;혼합형,점18.8％;공제실조형점14.5％.결론 본차조사결과기본능반영신향지구1～6세소인뇌탄목전적환병현상,가작위진일보연구뇌탄방치공작적기출성자료.
Objective To conduct the epidemiological investigation and analysis of cerebral palsy in Xinxiang of Henan Province and to investigate its risk factors in order to provid a basis for further study of etiology and prevention of cerebral palsy information.Methods Cluster sampling survey was carried out among children aged 1-6 years in XinXiang,Henan Province,and the data were analyzed by using SPSS 13.0 statistical analysis software.Results The morbidity of infantile cerebral palsy in Xinxiang of Henan Province was 2.82‰.The prevalence distribution in all age groups was 2.46 ‰-3.11‰(x2 =0.374,P =0.996),and the prevalence rate in male and female was significantly different(x2 =0.139,P =0.709) ; the sex ratio was 1.09 ∶ 1.00.Prevalence rate was slightly lower in urban areas than in rural areas (x2 =0.526,P =0.769).But no significant differences were observed in all of the data above.The incidence of cerebral palsy of children whose mothers did not established perinatal care manual and guidance during pregnancy was 5.86 times of the children whose mothers established perinatal care manual and guidance (x2 =116.806,P =0.000) ;the incidence of cerebral palsy in children whose mothers did not receive regular prenatal care during pregnancy was 5.37 times of the children whose mothers receive regular prenatal care during pregnancy (x2 =43.904,P =0.000);the incidence of cerebral palsy in children who had no neonatal follow-up after birth was 8.55times of the children with neonatal follow-up after birth (x2 =68.987,P =0.000).The incidence of cerebral palsy in children whose developmental disorders were not timely diagnosed and treated medically was 5.39 times the children whose developmental disorders were timely diagnosed and treated (x2 =56.003,P =0.000).The significant differences were observed in all of the data above.In the classification of cerebral palsy,the spastic type was the most (42.1％) ;followed by the dyskinetic (24.6％) ; the mixed (18.8％) ; and the ataxia(14.5％).Conclusions The survey results can reflect current prevalence of infantile cerebral palsy in children aged 1-6 years in XinXiang,and can be served as a basis for further prevention and treatment of cerebral palsy information.