云南省昆明地区脑性瘫痪高危因素分析

Analysis of the high risk factors of cerebral palsy in Kunming area,Yunnan province

目的:分析云南省昆明地区脑性瘫痪的高危因素。方法:收治脑瘫患儿103例,选取正常同龄儿103例。通过调查家族因素,妊娠、分娩期因素,新生儿期因素等23项危险因素,进行统计学分析。结果:在脑瘫组中有高危因素90例,>2项高危因素75例;正常儿童组有高危因素55例,>2项高危因素28例,差异有统计学意义(P<0.05)。各种危险因素中,以孕期患病、<37周、不良孕产史、<2.5 kg、产程中异常情况、先兆流产较为常见。结论:通过分析脑瘫患病的高危因素,脑损伤早期及时评估发病风险并估计预后,及早干预,对降低脑瘫的发生率、提高生存质量具有重要意义。

Objective:To analyze the high risk factors of cerebral palsy in Kunming area,Yunnan province.Methods:103 childrenpatients with cerebral palsy were selected.103 cases of normal same age children were selected.Through the investigation of 23risk factors,such as family factors,pregnancy and delivery factors,and neonatal factors,they were given statistical analysis.Results:In the cerebral palsy group,90 cases had high risk factors,and 75 cases had more than 2 high risk factors.In the normal childrengroup,55 cases had high risk factors,28 cases had more than 2 high risk factors,and the difference was statistically significant(P<0.05).In the risk factors,the illness during pregnancy,less than 37 weeks,adverse pregnancy history,less than 2.5 kg,abnormalcondition in the production process,threatened abortion were common.Conclusion:Through the analysis of the high risk factors ofcerebral palsy,timely assessment of onset risk and estimation of prognosis in early brain injury,early intervention have a greatsignificance in reducing the incidence of cerebral palsy and improving the life quality.