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目的通过调查得到北京市肢体残疾儿童的第一手资料,为北京市今后制定肢体残疾儿童的康复政策、康复规划和康复工程提供可靠依据。方法2004年4～11月由北京市残疾人联合会和北京市卫生局联合组织实施了0～6岁残疾儿童5类残疾抽样调查,包括肢体部分。结果本次调查0～6岁儿童共28738例,筛查出可疑肢体残疾256例,筛查阳性率为0.89%;确诊肢体残疾61例,残疾现患率为2.12‰;共诊断出各类肢体障碍182例,疾病现患率为6.34‰。本次调查61例肢体残疾儿童中,肢体残疾四级(轻度)30例(49.2%),三级(中度)19例(31.1%),二级(重度)8例(13.1%),一级(极重度)4例(6.6%)。结论本次调查发现,0～6岁儿童肢体残疾的致残原因中大脑性瘫痪居首位,故应当特别关注大脑性瘫痪儿童的预防、诊断、治疗和康复。根据本次调查所得到的数据,提出6项政策建议,供政府和相关部门参考。
Objective To obtain the first-hand information of physically handicapped children in Beijing by investigation and provide a reliable basis for the future policy of rehabilitation, rehabilitation planning and rehabilitation for the disabled children in Beijing. Methods From April to November 2004, Beijing Disabled Persons Federation and Beijing Municipal Health Bureau jointly conducted a sample survey of five types of disability children aged 0-6 years with disabilities, including the limbs. Results A total of 28 738 children aged 0-6 years were screened out, 256 cases of suspected physical disability were screened out, and the positive rate of screening was 0.89%. 61 cases of confirmed physical disability and 2.12 ‰ of disability were diagnosed, and all kinds of limb disorders were diagnosed 182 cases, the prevalence of disease was 6.34 ‰. Among 61 children with physical disabilities, there were 30 (49.2%) with grade 4 (mild) limbs, 19 (31.1%) with grade 3 (moderate) and 8 (13.1%) with secondary (severe) A (very severe) in 4 cases (6.6%). Conclusions This survey found that children with 0- to 6-year-olds had the most severe cause of disability due to cerebral palsy. Therefore, special attention should be paid to the prevention, diagnosis, treatment and rehabilitation of children with cerebral palsy. According to the data obtained from this survey, six policy recommendations are made for reference by the government and relevant departments.