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目的调查伊犁州小儿脑性瘫痪(CP)的患病现状及相关危险因素,为进一步研究脑瘫病因及预防工作提供基础资料。方法对伊犁州八县一市1~6岁儿童的CP患病现状进行整群抽样调查,资料经整理,采用SPSS13.0统计软件进行分析。结果伊犁州1~6岁儿童CP平均患病率为1.79‰,男童患病率高于女童,男女比为1.68∶1.00(χ2=33.378,P=0.000);维吾尔族CP患病率高于其他民族,各民族患病率为:维吾尔族2.34‰、哈萨克族1.82‰、回族1.23‰、其他少数民族1.20‰、汉族0.95‰(χ2=42.170,P=0.000);CP患病率随着新生儿抢救成活率的提高而有所上升,4~6岁组与1~3岁组CP患病率分别为1.56‰、2.09‰,两组患病率差异有统计学意义(χ2=10.801,P=0.001)。在CP分类构成中,痉挛型最多,占68%;混合型占11.3%;肌张力低下型占11.1%;不随意运动型占8.5%;共济失调型占1.2%。结论本次调查结果基本能反映伊犁州1~6岁小儿CP目前的患病现状和高危因素,为进一步研究CP防治工作提供基础性资料。
Objective To investigate the prevalence and related risk factors of cerebral palsy (CP) in children in Yili Prefecture and provide basic information for further study on the causes and prevention of cerebral palsy. Methods A cluster sampling survey was conducted on the prevalence of CP in children aged 1 ~ 6 in eight counties and one city of Yili Prefecture. The data were sorted and analyzed by SPSS13.0 statistical software. Results The average prevalence rate of CP among children aged 1-6 was 1.79 ‰ in YILU. The prevalence rate of boys was higher than that of girls. The male to female ratio was 1.68:1.00 (χ2 = 33.378, P = 0.000). The prevalence of CP in Uighur was higher than The prevalence rates of other nationalities and ethnic groups were: 2.34 ‰ of Uygur, 1.82 ‰ of Kazak, 1.23 ‰ of Hui, 1.20 ‰ of other minorities and 0.95 ‰ of Han (χ2 = 42.170, P = 0.000) The survival rates of children aged 4 ~ 6 years and 1 ~ 3 years old were 1.56 ‰ and 2.09 ‰, respectively, with significant difference (χ2 = 10.801, P = 0.001). In the classification of CP classification, the most spastic type, accounting for 68%; mixed type accounted for 11.3%; hypotonia accounted for 11.1%; involuntary exercise accounted for 8.5%; ataxia accounted for 1.2%. Conclusion The results of this survey can basically reflect the current prevalence and risk factors of CP in children aged 1 ~ 6 years in Yili Prefecture, and provide basic information for further research on CP prevention and treatment.