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目的了解厦门经济特区小儿脑瘫的发病率,临床分型分布情况,早期症状表现及合并症的发生率。方法采用整群抽样调查方法对2012年10月至2014年8月期间在厦门经济特区5岁以下儿童进行3期流行病学调查,资料双人录入、校正,采用SPSS17.0软件进行统计处理。结果厦门经济特区5岁以下儿童小儿脑瘫患病率为1.53‰,以痉挛型双瘫发病率最高,为34.4%。不随意运动型早期症状发生率较高,其中姿势异常发生率高达100.0%。痉挛型四肢瘫智力落后的发生率最高,发生率为77.8%,不随意运动型听力障碍发生率最高,为80%。结论厦门经济特区小儿脑瘫中痉挛型双瘫发病率最高,临床分型与早期症状、合并症之间有一定相关性。
Objective To understand the incidence of children with cerebral palsy in Xiamen Special Economic Zone, the distribution of clinical classification, the early symptoms and the incidence of comorbidities. Methods A cluster sampling method was used to carry out 3 epidemiological survey on children under 5 years of age in Xiamen Special Economic Zone from October 2012 to August 2014. Data were entered and corrected by two persons. SPSS17.0 software was used for statistical analysis. Results The prevalence of cerebral palsy in children under 5 years old in Xiamen Special Economic Zone was 1.53 ‰, with the highest incidence of spastic diplegia (34.4%). The incidence of involuntary exercise-induced early symptoms was high, with postural abnormalities as high as 100.0%. Spastic quadriplegia mental retardation the highest incidence, the incidence was 77.8%, the highest incidence of involuntary exercise-induced hearing loss, was 80%. Conclusions The incidence of spastic diplegia in children with cerebral palsy in Xiamen Special Economic Zone was the highest. There was a correlation between clinical classification and early symptoms and complications.