【摘要】 目的调查湖南省0~6岁儿童脑性瘫痪(CP)流行特征及康复干预现状。方法于2011年9月至2012年9月期间,在湖南省长沙、岳阳、常德、郴州、怀化五地区采用分层整群随机抽样原则,抽取5个市共22个区乡镇1~6岁全体常住儿童作为调查对象,以问卷形式进行入户流行病学调查,采用Epidata3.2建立数据库,选用SPSS17.0版软件进行统计学分析。结果共实际调查湖南省五地区1~6岁儿童20 003例,发现脑瘫患儿53例,患病率为2.75‰;各地区的脑瘫患病率在2.09‰~3.25‰,各年龄组患病率分布在1.98‰~3.22‰;男女童脑瘫患病率之比为1.89∶1;CP分型以痉挛型为主(占58.18%);脑瘫患儿中孕母孕期建立围生保健手册的占60.00%,接受了新生儿随访的患儿49.09%,脑瘫患儿中有47.27%选择医院集中式康复和社区康复结合的方式。结论湖南省0~6岁儿童脑瘫患病率为2.75‰,CP分型以痉挛型为主,围生期保健及早期随访工作尚待加强,康复干预现状有待进一步改善,可作为进一步研究脑瘫防治工作的基础性资料。更多还原

【Abstract】 Objective:To discribe epidemiological features of cerebral palsy children aged 1 to 6 Years in Hunan Province. Methods:Children from five towns(Changsha,Yueyang,Changde,Chenzhou,Huaihua)aged 1 to 6 years were selected using stratified cluster sampling. A house-hold questionnaire survey was conducted from September,2011 to September,2012.The data were established by using Epidata3.2 software and analyzed by using SPSS l 3.0 statistical analysis software. Results:Among 20 003 children aged 1-6 years surveyed.55 were found to have CP,a prevalence of 2.75‰.Prevalence in different towns range 2.09‰ to 3.25 ‰,the prevalence among all age groups range 1.98 ‰ to 3.22 ‰.Most(58.18%)had spastic CP. Only 60.00% mothers of cerebral palsy established perinatal care manual and guidance during pregnancy,49.09% of them received neonatal follow up after birth,47.27%of the children with CP had received hospital and community rehabilitation training.Conclusion:The prevalence of cerebral palsy among children aged 1 to 6 years is 2.35‰ in Hunan Province,mainly of the spastic type. The prenatal care and early follow-up work is yet to be strengthened,rehabilitation intervention work needs further improvement,these basic data can be used for further research work to the prevention of cerebral palsy.更多还原