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目的 描述安徽省两城市 1～ 8岁儿童脑瘫患病率及其分布特征。方法 运用横断面研究设计 ,利用两座城市社区妇幼保健网络对常住人口中 1～ 8岁儿童进行筛查 ,可疑脑瘫儿童由专科医生诊断。结果 1～ 8岁儿童脑瘫患病率为 1 6 5‰ ,95 %的可信区间为 1 30‰～ 1 99‰ ,其中男童脑瘫患病率为 1 70‰ (1 2 2‰～ 2 18‰ ) ;女童患病率为 1 5 9‰ (1 10‰～ 2 0 8‰ ) ,男女患病率差别无统计学意义 (χ2 =0 10 2 ,P =0 74 9) ;1～ 8岁儿童各年龄组脑瘫患病率为 1 2 2‰～ 1 84‰ ,年龄组间分布差异无显著性 (χ2 =1 2 2 0 ,P =0 991) :脑瘫患儿中 ,轻、中和重度分别占13 6 %、33 6 %和 5 0 0 % ;用丹佛发育筛查询问表检查 1～ 6岁脑瘫患儿 ,有 6项以上发育迟缓项目占 89 1% ,而正常儿童无 6项以上发育迟缓者。结论 脑瘫亦为城市儿童常见神经疾病之一 ,需加强防治研究
Objective To describe the prevalence and distribution of cerebral palsy in children aged 1 ~ 8 in two cities of Anhui province. Methods Using cross-sectional study design, two urban maternal and child health networks were used to screen children aged 1 to 8 in the resident population. Suspected children with cerebral palsy were diagnosed by specialists. Results The prevalence of cerebral palsy in children aged 1 ~ 8 years was 165%, and the 95% confidence interval was 130 ~ 199%. The prevalence of cerebral palsy in boys was 170% (122% ~ 218% ‰). The prevalence rate of girls was 1 59 ‰ (1 10 ‰ ~ 208 ‰). There was no significant difference between male and female prevalence rates (χ2 = 0 10 2, P = 0 749) The prevalence of cerebral palsy in children of all ages ranged from 12 2 ‰ to 1 84 ‰, with no significant difference between age groups (χ2 = 122 0, P = 0 991). Among children with cerebral palsy, mild, moderate and severe Accounting for 13.6%, 33.6% and 500.0% respectively. Six children with cerebral palsy aged 1 ~ 6 years old were examined with the Denver Developmental Screening Questionnaire, accounting for 89.1% of the total, with more than 6 cases of stunting, while no more than 6 normal children Stunted persons. Conclusion Cerebral palsy is also one of the common neurological diseases in urban children, so it is necessary to strengthen prevention and treatment