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目的了解小儿脑性瘫痪(简称脑瘫)相关的致病因素,制定降低脑瘫发生率的相关措施。方法对238例临床诊断为小儿脑瘫的患儿进行回顾性分析。结果脑瘫诊断年龄多在2岁以内,男孩发病率大于女孩,农村多于城市。脑瘫的前6位高危因素是早产、低出生体重、窒息、黄疸、母亲因素、多胎。结论加强孕期及围产期母婴保健,提高产科质量,提高新生儿救治水平,加强高危儿系统管理,不断提高基层医务人员业务水平是降低脑瘫发生率的重要措施。
Objective To understand the pathogenic factors associated with pediatric cerebral palsy (referred to as cerebral palsy), and to develop related measures to reduce the incidence of cerebral palsy. Methods A retrospective analysis was performed on 238 children with clinical diagnosis of pediatric cerebral palsy. Results The diagnosis of cerebral palsy was mostly within 2 years old, the incidence of boys was higher than that of girls, and that of rural areas was more than that of cities. The top 6 risk factors for cerebral palsy are prematurity, low birth weight, asphyxia, jaundice, maternal factors, and multiple births. Conclusion It is an important measure to reduce the incidence of cerebral palsy by strengthening maternal and child health during pregnancy and perinatal period, improving the quality of obstetrics, raising the level of newborn care, strengthening the management of high-risk infants, and continuously improving the professional level of grassroots medical workers.