河南省小儿脑性瘫痪流行特征及防治现状

目的:探讨河南省0～6岁儿童脑性瘫痪(CP)流行特征及防治现状。方法:2011年9月～2012年7月,根据河南省各地区儿童出生率采用分层整群随机抽样原则对郑州、新乡、驻马店、开封、登封、新密、洛阳、濮阳、三门峡、商丘、漯河11个地区特定区域内0～6岁(2005年1月1日～2010年12月31日出生)儿童以问卷形式进行入户流行病学调查。结果:共调查0～6岁儿童50 596例,发现CP患儿120例,患病率2.37‰。CP高危因素主要是HIE、窒息、早产、低出生体重等。CP患儿接受集中式康复占42.50%,发现异常并进行随访检测占45.83%,得到政府专项资助占9.17%。结论:河南省小儿CP患病率为2.37‰,CP患儿多存在高危因素,CP防治现状还不容乐观。

Epidemic characteristics and current prevention of cerebral palsy in children of Henan Province

Objective:To investigate the epidemic characteristics and current prevention of cerebral palsy(CP) in children aged from 0 to 6 in Henan Province.Methods:From September 2011 to July 2012,according to regional child birth rate in Henan province and stratified cluster random sampling principle,childen of 0-6 years old(born from 2005-1-1 to 2010-12-31) were investigated in 11 cities,including the specific area of Zhengzhou,Xinxiang,Zhumadian,Kaifeng,Dengfeng,Xinmi,Luoyang,Puyang,Sanmenxia,Shangqiu and Luohe,which was an epidemiological survey by questionnaire forms.Results:There were 120 CP children among 50 596 children investigated,the prevalence of CP was 2.37‰.CP risk factors were mainly HIE,asphyxia,preterm,low birth weight.Rate of children with CP receiving centralized recovery was 42.50%.Rate of children who were found abnormal and followed-up was 45.83%.Rate of getting special funding from the government was 9.17%.Conclusion:The prevalence rate of CP in Henan province is 2.37‰.Most children with CP have risk factors.The current prevention of CP is not optimistic.