安徽省两城市1～8岁儿童脑性瘫痪的现患研究

Prevalence Survey of Cerebral Palsy in Children Aged 1 to 8 Years in Two Cities of Anhui Province

目的 描述安徽省两城市 1～ 8岁儿童脑瘫患病率及其分布特征。方法 运用横断面研究设计 ,利用两座城市社区妇幼保健网络对常住人口中 1～ 8岁儿童进行筛查 ,可疑脑瘫儿童由专科医生诊断。结果 1～ 8岁儿童脑瘫患病率为 1 6 5‰ ,95 %的可信区间为 1 30‰～ 1 99‰ ,其中男童脑瘫患病率为 1 70‰ (1 2 2‰～ 2 18‰ ) ;女童患病率为 1 5 9‰ (1 10‰～ 2 0 8‰ ) ,男女患病率差别无统计学意义 (χ2 =0 10 2 ,P =0 74 9) ;1～ 8岁儿童各年龄组脑瘫患病率为 1 2 2‰～ 1 84‰ ,年龄组间分布差异无显著性 (χ2 =1 2 2 0 ,P =0 991) :脑瘫患儿中 ,轻、中和重度分别占13 6 %、33 6 %和 5 0 0 % ;用丹佛发育筛查询问表检查 1～ 6岁脑瘫患儿 ,有 6项以上发育迟缓项目占 89 1% ,而正常儿童无 6项以上发育迟缓者。结论 脑瘫亦为城市儿童常见神经疾病之一 。

Objective To describe epidemiological feature of cerebral palsy in children aged 1 to 8 years in two cities of Anhui province.Methods A cross-section study was conducted in two cities,Anhui province.53 406 subjects were examined by the doctors of child health care.The double cases with cerebral palsy were diagnosed by diplomates.Results The prevalence of cerebral palsy in children at age of 1 to 8 years old was 1.65‰(1.22‰ to 2.18‰).That in males was 1.70‰ and in females was 1.59‰(1 10‰～2 08‰),respectively.No significant difference of the prevalence was found in the male and female children( χ 2=0 102,P=0 749) .There were no significant difference of prevalence (1 22‰～1 84‰) among 1 to 8 aged children were detected( χ 2=1 220,P=0 991 ).The distribution of mild,moderate and serious cases were count for 13 6%,33.6% and 50.0%,respectively.Over six abnormal developmental evaluating items were found in 89.1% children at age 1 to 6 years old by using Denver Prescreening Developmental Questionnaire(DPDQ for short),and those were not found in the control subjects.Conclusion Cerebral palsy was also one of common neural developmental diseases in urban children.Preventive and control measures should be paid attention to.