Survey on children with cerebral palsy in Tochigi Prefecture, Japan
Survey on children with cerebral palsy in Tochigi Prefecture, Japan
复制标题
日本栃木县脑瘫儿童调查
DOI：
10.1111/ped.14536
复制
发表时间：
2021
影响因子：
1.4
通讯作者：
Shimoizumi H
中科院分区：
文献类型：
--
作者：
Yamagishi H;Osaka H;Toyokawa S;Kobayashi Y;Shimoizumi H
研究背景脑性瘫痪（脑瘫）的发病率受围产期医学和地区医疗体制的影响。我们调查了最近的发病率CP和目前的问题，CP的儿童在家里生活在一个先进的围产期医疗系统在日本的栃木Prefecture.MethodsA的13家医院和6个康复设施治疗CP的儿童出生在栃木县估计CP的发病率在2009年和2013年之间出生的儿童进行了临床随访调查。运动和智力障碍的严重程度，假定的因果因素，并发症，并提供医疗干预措施进行了调查和比较早产儿和足月出生的儿童CP。ResultsThe发病率CP为1.6每1000例活产。较短的妊娠期和较低的出生体重与较高的CP发病率相关。51%的CP儿童不能行走，55%的儿童有严重至极严重的智力障碍。新生儿窒息发作和脑室周围白质软化是最常见的致病因素;两者在早产儿中的发生率均显著高于足月儿。大约30%的儿童与CP有呼吸系统疾病，吞咽困难，或癫痫; 62%接受医疗干预，包括药物治疗，机械通气，氧疗，管饲，和口内/鼻内suction.ConclusionWe发现CP的发病率较低，相比以前的日本研究。然而，运动和智力障碍严重，许多CP儿童及其家庭负担着日常医疗护理。应发展公共支助系统以及围产期医疗系统。
BackgroundThe incidence of cerebral palsy (CP) is influenced by perinatal medicine and regional medical systems. We investigated the recent incidence of CP and the current problems of children with CP in living at home under an advanced perinatal medical system in Tochigi Prefecture, Japan.MethodsA clinical datasheet survey was performed among 13 hospitals and six rehabilitation facilities treating children with CP born in Tochigi Prefecture to estimate the incidence of CP among children born between 2009 and 2013. The severity of motor and intellectual impairment, presumed causal factors, complications, and provided medical interventions were investigated and compared between preterm and term‐born children with CP.ResultsThe incidence of CP was 1.6 per 1000 live births. Shorter gestation period and lower birthweight were associated with a higher incidence of CP. Fifty‐one percent of children with CP were non‐ambulatory and 55% had severe to profound intellectual impairment. Episodes of neonatal asphyxia and periventricular leukomalacia were the most frequent causal factors; both were significantly more frequent in preterm than in term‐born children. Approximately 30% of children with CP had respiratory disorders, dysphagia, or epilepsy; 62% received medical interventions, including medication, mechanical ventilation, oxygen therapy, tube feeding, and intraoral/intranasal suction.ConclusionWe found the incidence of CP to be lower in comparison to previous Japanese studies. However, the motor and intellectual impairments were severe, and many children with CP and their families were burdened by daily medical care. Public support systems should be developed, as well as the perinatal medical system.
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[姬路市 25 年脑瘫发病率]。
DOI：
--
发表时间：
2016
期刊：
No to hattatsu = Brain and development
影响因子：
--
作者：
K. Koterazawa;Yuka Okada;H. Miyata
通讯作者：
H. Miyata
脑瘫的比例有多大与出生窒息有关？
DOI：
10.1016/s0022-3476(88)80169-0
发表时间：
1988
期刊：
The Journal of pediatrics
影响因子：
--
作者：
K. Nelson
通讯作者：
K. Nelson
影响因子：
4.8
作者：
Keogh, JM;Badawi, N
通讯作者：
Badawi, N
影响因子：
3.8
作者：
Toyokawa, Satoshi;Maeda, Eri;Kobayashi, Yasuki
通讯作者：
Kobayashi, Yasuki
影响因子：
1.7
作者：
Touyama, Mayumi;Touyama, Jun;Kobayashi, Yasuki
通讯作者：
Kobayashi, Yasuki