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一般认为脑损害是分娩期间发生脑性瘫痪(CP)的原因,而出生时窒息是重要原因之一。本文作者以双盲个体配对法调查了1975~1980年出生的,在5岁前确诊为强直性CP的病例183例,及同期出生的549例儿童的围产期窒息情况,结果证实研究组183例中有出生时窒息61例(33.5%),对照组549例中有出生窒息99例(18%),出生窒息与强直性CP间有显著相关性〔差率2.84(95%可信限间隔1.85~4.37),在出生体重>1500g者中最有意义者〔1501~2500g,研究组58例,对照组174例,差率2.38,95%可信限间隔1.28~4.41,人群特异危险性(PAR)24.8;>
It is generally believed that brain damage is the cause of cerebral palsy (CP) during childbirth, and asphyxia at birth is one of the important reasons. The authors investigated 183 cases of patients diagnosed with tonic CP before the age of 5 years and the perinatal asphyxia of 549 children born during the same period of life from 1975 to 1980 by double-blind individual pairing. The results confirmed that Study Group 183 Among the cases, 61 (33.5%) had asphyxia at birth and 99 (18%) had birth asphyxia in 549 cases of the control group. There was a significant correlation between birth asphyxia and tonic CP [2.84 (95% confidence interval 1.85 to 4.37). Among those with a birth weight of> 1500g, the most significant ones (1501 ~ 2500g, 58 cases in the study group and 174 cases in the control group, with a rate of 2.38% and 95% confidence intervals of 1.28-4.41) PAR) 24.8;>