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目的:分析脑性瘫痪的高危因素,制定相应的干预措施。方法:回顾性分析2006年9月～2008年3月就诊的227例脑瘫患儿的临床资料。结果:227例脑瘫患儿中男性是女性的3.05倍,常见高危因素依次为早产、窒息、高胆红素血症、缺氧缺血性脑病、宫内感染,有1种或1种以上高危因素的占94.3%,农村较城市多。结论:加强围产期保健,预防早产低体重,防止新生儿窒息发生;孕期定期监测,及时发现和治疗感染等并发症;提高家长及医务人员对早期诊断的认识等都是降低脑性瘫痪发生率的重要干预措施。
Objective: To analyze the high risk factors of cerebral palsy and make corresponding interventions. Methods: The clinical data of 227 children with cerebral palsy who were treated from September 2006 to March 2008 were analyzed retrospectively. Results: Among 227 children with cerebral palsy, the number of males was 3.05 times that of females. The most common risk factors were premature birth, asphyxia, hyperbilirubinemia, hypoxic-ischemic encephalopathy and intrauterine infection, with one or more high risk 94.3% of the factors, rural areas more than cities. CONCLUSIONS: Intensifying perinatal care, preventing premature birth and low birth weight, preventing neonatal asphyxia, regular monitoring during pregnancy, timely detection and treatment of complications such as infection, and raising parents and medical staff’s awareness of early diagnosis reduce cerebral palsy Rate of major interventions.