The changing panorama of cerebral palsy in Sweden .7. Prevalence and origin in the birth year period 1987-90
The changing panorama of cerebral palsy in Sweden .7. Prevalence and origin in the birth year period 1987-90
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DOI：
10.1111/j.1651-2227.1996.tb14193.x
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发表时间：
1996-08-01
期刊：
影响因子：
3.8
通讯作者：
vonWendt, L
中科院分区：
文献类型：
--
作者：
Hagberg, B;Hagberg, G;vonWendt, L
这份第七份基于瑞典人群的脑性瘫痪(CP)报告包含了在1987至1990年间出生的216名儿童。粗略的活产患病率为2.36/1000，表明自1970年以来持续增长的趋势有所中断。排除10例出生后衍生的病例，极早产儿、极早产儿、中度早产儿和足月儿的特定胎龄患病率分别为80/1000、54/1000、8/1000和1.4/1000。出生体重比患病率：出生体重及1000克为57,1000-1499克为68,1500-2499克为14，大于或等于2500克/1000为1.4。产前病因学占8%，围产期/新生儿病因学占54%，无法分类的早产儿占38%，足月儿占33%、28%和39%。偏瘫、双瘫和四肢瘫痪综合征分别占早产儿的22%、66%和7%，占足月儿童的44%、29%和10%。早产儿39%、39%、26%、18%和23%出现不行走、智力低下、癫痫、严重视力障碍和婴儿脑积水，足月儿分别为38%、44%、36%、14%和5%。整个系列的1408例出生于1954-90年，揭示了三个不同的早产趋势时代，明显与围产期护理的变化和CP表现类型的转变有关。
This seventh Swedish population-based cerebral palsy (CP) report comprises 216 children born between 1987 and 1990. The crude live birth prevalence was 2.36 per 1000, indicating a break in the continuous increase since 1970. Excluding 10 postnatally-derived cases, gestational-age specific prevalences were 80 for extremely, 54 for very and 8 for moderately preterms and 1.4 for term children per 1000. Birth weight-specific prevalences were 57 for birth weights < 1000 g, 68 for 1000-1499 g, 14 for 1500-2499 g and 1.4 for greater than or equal to 2500 g per 1000. The aetiology was considered prenatal in 8%, peri/neonatal in 54% and unclassifiable in 38% of preterms and 33, 28 and 39% of term children. Hemiplegic, diplegic and tetraplegic syndromes accounted for 22, 66 and 7% of preterms and 44, 29 and 10% of term children. Non-walking, mental retardation, epilepsy, severe visual impairment and infantile hydrocephalus were present in 39, 39, 26, 18 and 23% of preterms; and 38, 44, 36, 14 and 5% of term children, respectively. The entire series of 1408 cases born in 1954-90 revealed three distinct trend eras for preterms, clearly related to changes in perinatal care and shifts in type of CP manifestations.