脑瘫患者 z-bo 2020-10-19 321

　　Cerebral palsy refers to a syndrome caused mainly by postural and motor dysfunction caused by non-progressive brain injury. It is a central neuropathy syndrome commonly seen in children. It has lesions in the brain and limbs, and is often accompanied by mental retardation, epilepsy, abnormal behavior, mental disorders, visual, auditory and speech disorders. Cerebral palsy is one of the most common causes of disability in children, with an average of 2-3 children for every 1,000 babies. In a recent study, a study of children from 2 to 16 years old in Turkey found that the average number of children with cerebral palsy per 1,000 births was 4.4.

　　The most common causes of cerebral palsy are premature birth, ischemia, hypoxemia, hemoglobin bilirubin and trauma. Advances in neonatal health care have greatly reduced neonatal mortality, but the increased survival rate of high-risk preterm births and low birth weight newborns has led to an increased risk of cerebral palsy. Early diagnosis and treatment are essential for the rehabilitation of children with cerebral palsy. The purpose of cerebral palsy rehabilitation is to minimize disability by enhancing the child's motor control level, knowledge level, social participation and independence.

　　Therefore, Fatma Fidan from the Department of Physical Therapy and Rehabilitation of Ildilim School of Medicine, Bayagit University, Turkey, provided demographic and clinical characteristics of children with cerebral palsy in eastern Turkey, providing evidence for the prevention and early diagnosis of cerebral palsy.

　　The survey included patients diagnosed with cerebral palsy in the outpatient and inpatient clinics of the Physical Therapy and Rehabilitation Department of Inonu University, Turkey. Analyze the age, gender, etiology, clinical classification and epidemiological characteristics of patients with cerebral palsy.

　　Results A total of 130 patients participated in the study, with an average age of 51.05±36.06 months, including 51 girls and 79 boys. The most common risk factors are prenatal hemorrhage and threatened abortion, perinatal asphyxia, low birth weight and premature delivery, postpartum neonatal onset and elevated blood bilirubin. Among them, married families accounted for 24.6%. Among the clinical features, 45 participants had spastic limb paralysis (34.6%), 41 had spastic limb paralysis (31.5%), and 15 of them had Paralyzed limbs. Difficulty breathing (11.5%) and spastic hemiplegia (10.8%) occurred in 14 cases. 10 were mixed (7.7%) and 5 were hypotonic/hypoxic (3.8%). The author pointed out that prenatal risk factors are the most important risk factors for cerebral palsy. Close tracking of risk factors during pregnancy and childbirth can reduce the incidence of neonatal cerebral palsy.