脑瘫婴儿早期筛查结果分析探讨

Ana lysis of early screening results in infants with cerebral palsy

目的分析脑瘫婴儿早期筛查结果和发生脑瘫的影响因素.方法选取2020年1月-2020年12月天津市蓟州区妇女儿童保健和计划生育服务中心高危婴儿104例,均采用0-6岁小儿神经心理发育检查表(儿心量表)进行筛查,统计筛查结果,并收集患儿临床资料,分析发生脑瘫的影响因素.结果104例高危婴儿中,采用儿心量表筛查出早期脑瘫24例(23.08%),其中轻度13例(54.17%)、中度9例(37.50%)、重度2例(8.33%);是否早产、出生体重、胎数、新生儿期有无颅内感染、重度黄疸、重度窒息和母亲妊娠期有无高血压病、有无阴道出血、有无接触有害物质是婴儿发生脑瘫的影响因素(P<0.05);Logistic回归分析显示,早产、出生体重低、多胎、新生儿期颅内感染、新生儿期重度黄疸、新生儿期重度窒息、母亲妊娠期高血压病、母亲妊娠期阴道出血、母亲妊娠期接触有害物质为婴儿发生脑瘫的危险因素(P<0.05).结论儿心量表筛查脑瘫婴儿效果显著,可及时明确高危婴儿脑瘫风险和严重程度,且高危婴儿发生脑瘫的危险因素较多,临床应据此实施防控措施,降低脑瘫发生率.

Objective To analyze the early screening results and the influencing factors of cerebral palsy in infants with cerebral palsy.Methods 104 high-risk infants from January 2020 to December 2020 were selected,and the neuropsychological developinenl checklist(child heart scale)of children aged 0 to 6 years were used for screening,statistical screening results,clinical data of children were collected and collected to analyze the influencing factors of cerebral palsy.Resu I ts Of the 104 high-risk infants,the screening of early cerebral palsy was 24 cases(23.08%),among them,13 cases were mild(54.17%),9 moderate(37.50%)and 2 severe(8.33%);whether premature birth,birth weight,fetal number,neonatal period without intracranial infection,severe jaundice,severe asphyxia,maternal pregnancy without hypertension,vaginal bleeding,and exposure to harmful substances are the influencing factors of infant cerebral palsy(P<0.05);the logistic regression analysis showed that,preterm birth,low birth weight,multiple births,neonatal intracranial infection,severe neonatal jaundice,severe neonatal asphyxia,maternal pregnancy,maternal hypertension,maternal vaginal bleeding during pregnancy,and maternal exposure to harmful substances during pregnancy are risk factors for infant cerebral palsy(P<0.05).Conclusion The screening of infants with cerebral palsy has a remarkable effect,which can timely clarify the risk and severity of cerebral palsy in high-risk infants,and there are many risk factors for cerebral palsy.Clinical prevention and control measures should he implemented accordingly to reduce the incidence of cerebral palsy.