中国六省及自治区小儿脑性瘫痪患病状况的调查

Prevalence of childhood cerebral palsy in six provinces in China

目的 调查中国 1～ 6岁小儿脑性瘫痪 (简称脑瘫 )的患病现状。方法 1997年 5月～1998年 12月在中国江苏等 6个省及自治区对 1～ 6岁小儿脑性瘫痪现况进行了整群抽样调查。结果共调查 1～ 6岁儿童 10 4732 7名 ,诊断脑瘫患儿 2 0 0 9例 ,患病率为 1 92‰ ,男性的患病率为 2 2 4‰ ,女性为 1 5 5‰ ;孕周小于 37周的早产儿患病率为 35 13‰ ,足月儿患病率为 1 5 8‰ ,过期产儿的患病率为 2 1‰。结论 本组资料脑瘫的患病率与世界各国家及地区相比处于较低范围 ,这可能与中国早产儿发生率低和早产儿存活率低有关 ;同时脑瘫患病率还与地区、性别、年龄、民族、出生体重及孕周有关。

Objective To investigate the prevalence of childhood cerebral palsy(CP) in China. Methods A cross sectional survey was carried out among 1047327 children aged 1～6 years old in six provinces of China during May 1997～ December 1998. Results The crude prevalence of CP for children aged 1～6 years old was 1 92 per thousand; in addition, prevalences of CP were also reported for factors such as sex, age,ethic group, birth weight, gestational age, and area. Conclusion Prevalence of CP in China is at the low range among the world, which may be due to low prevalence and low survival rate of premature newborn in China. The prevalence of cp is associated with areas, sex, age, ethnic group, birth weight, and gestational age.