ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2021, Vol. 13 ›› Issue (1): 84-.

• 调查研究 • 上一篇    下一篇

无锡地区儿童脑性瘫痪高危因素调查分析

陆莹，刘毅梅，张娜   

  1. 214023 江苏 无锡，南京医科大学附属无锡市儿童医院儿童保健康复科
  • 出版日期:2021-02-25 发布日期:2021-05-17
  • 通讯作者: 张娜，E-mail:najang@126.com
  • 作者简介:陆莹（1991-），女，医学硕士，中医师。研究方向：针灸治疗小儿脑瘫、精神运动发育迟缓及运动障碍等
  • 基金资助:
    无锡市青年医学人才项目（QNRC055）；无锡市卫生健康委员会面上项目（MS201840）

Investigation and analysis of high risk factors of cerebral palsy in children in Wuxi area

LU Ying，LIU Yimei，ZHANG Na   

  1. Department of Child Health and Rehabilitation，Wuxi Children's Hospital Affiliated to Nanjing Medical University，Wuxi 214023，China
  • Online:2021-02-25 Published:2021-05-17

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摘要： 目的:分析无锡地区小儿脑性瘫痪（简称脑瘫）的相关高危因素，为预防该病的发生提供重要依据。
方法:选取2017年1月至2019年12月在无锡市儿童医院儿童保健康复科就诊的50例脑瘫患儿作为观察组，按1∶2的比例选取同期在我科体检的健康儿童100例作为对照组。通过询问儿童父母完成问卷调查。调查项目包括儿童性别、母亲生育年龄、孕期是否接触射线、孕期是否用药、孕期是否住新房坐新车、是否工作、吸烟史、饮酒史、流产史、是否保胎、是否服用叶酸、分娩方式、是否有不良情绪、孕期并发症、是否定期产检、胎次、新生儿早产、出生体质量、新生儿窒息、缺血缺氧性脑病、病理性黄疸。对收集的数据进行单因素分析和多因素Logistic回归分析。
结果:单因素分析显示，母亲生育年龄、是否工作、吸烟史、流产史、是否有不良情绪、胎次、低体质量、新生儿窒息、缺血缺氧性脑病、病理性黄疸是发生小儿脑瘫的危险因素，差异有统计学意义（P<0.05）；多因素分析显示，母亲生育年龄、吸烟史、流产史、不良情绪、胎次、早产、低体质量、新生儿窒息、缺血缺氧性脑病是小儿脑瘫发病的独立危险因素。
结论:小儿脑瘫的发病因素复杂多样，针对常见的发病因素，进行流行病学调查和统计，做好预防性措施，为减少小儿脑瘫的发生提供科学的理论依据。

关键词: 脑性瘫痪, 高危因素, 儿童

Abstract: Objective:To analyze the relevant risk factors of cerebral palsy in children in Wuxi area，and to provide evidence for preventing the incidence of cerebral palsy.
Methods:A total of 50 children with cerebral palsy hospitalized in Pediatric Rehabilitation Center of Wuxi Children's Hospital from January 2017 to December 2019 were selected as observation group. Another 100 healthy children undergoing physical examination in our hospital in the same period were selected as control group. A 1∶2 matched case-control study was conducted. Complete the questionnaire by inquiring the parents of the children. The survey items included gender of children，maternal age，radiation contact，drug use during pregnancy，living in new houses or driving new cars，working，smoking history，drinking history， history of abortion，preventing miscarriage，taking folic acid，delivery methods，bad mood，pregnancy complications, regular prenatal examination，preterm birth，birth weight，neonatal asphyxia，hypoxic -ischemic encephalopathy，and pathological jaundice. All data were analyzed with univariate analysis and multivariate Logistic regression analysis.
Results:Univariate analysis showed that maternal age, working，smoking history，history of abortion，bad mood，number of births，low weight at birth， neonatal asphyxia，hypoxic-ischemic encephalopathy and pathological jaundice were risk for cerebral palsy in children(P<0.05). The multivariate analysis showed that maternal age，smoking history，history of abortion，bad mood，number of births，premature delivery，low weight at birth，neonatal asphyxia and hypoxicischemic encephalopathy were the independent risk factors.
Conclusion:The relevant risk factors of cerebral palsy in children are various. In order to provide scientific theoretical basis for reducing the incidence of cerebral palsy in children，preventive measures are taken and epidemiological investigation and statistics about common risk factors are carried out.

Key words: Cerebral palsy, Risk factors, Children