2004年北京市0～6岁儿童肢体残疾抽样调查报告

Sample investigation of the aged 0～6 years crippled children in Beijing

目的通过调查得到北京市肢体残疾儿童的第一手资料,为北京市今后制定肢体残疾儿童的康复政策、康复规划和康复工程提供可靠依据。方法2004年4～11月由北京市残疾人联合会和北京市卫生局联合组织实施了0～6岁残疾儿童5类残疾抽样调查,包括肢体部分。结果本次调查0～6岁儿童共28738例,筛查出可疑肢体残疾256例,筛查阳性率为0.89%;确诊肢体残疾61例,残疾现患率为2.12‰;共诊断出各类肢体障碍182例,疾病现患率为6.34‰。本次调查61例肢体残疾儿童中,肢体残疾四级(轻度)30例(49.2%),三级(中度)19例(31.1%),二级(重度)8例(13.1%),一级(极重度)4例(6.6%)。结论本次调查发现,0～6岁儿童肢体残疾的致残原因中大脑性瘫痪居首位,故应当特别关注大脑性瘫痪儿童的预防、诊断、治疗和康复。根据本次调查所得到的数据,提出6项政策建议,供政府和相关部门参考。

Objective To explore the prevalence of limb disabilities in 0～6 years old children in Beijing, and the possible associated factors. The results of this study may help the government to make the policy. Methods A sampled survey was conducted in 28 738 children of 0～6 years old living in Beijing city from April to November in 2004, under the Chinese standard of disabilities evaluation, including the crippled children. Results There were 256 children with suspected limb disability in 28 707 children, 61 cases were diagnosed as crippled children. The prevalence rate of extremity disability was 6.34 ‰ in which 30 children （49.2%） were GradeⅣ; 19 children （31.1%） were Grade Ⅲ; 8 children （13.1%） were Grade Ⅱ; 4 children （6.6%） were Grade I （ the most severe grade）. The most common cause of crippled children in 0 ～6 years old was cerebral palsy. Conclusions The data suggest that we should focus on the prevention, treatment and rehabilitation of cerebral palsy in children. We also raise other 5 suggestions to the government officials.