CHANGING DIAGNOSIS OF CEREBRAL-PALSY IN VERY-LOW-BIRTH-WEIGHT CHILDREN
CHANGING DIAGNOSIS OF CEREBRAL-PALSY IN VERY-LOW-BIRTH-WEIGHT CHILDREN
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DOI：
10.1055/s-2007-999475
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发表时间：
1990-04-01
影响因子：
2
通讯作者：
KELLY, E
中科院分区：
文献类型：
--
作者：
FORD, GW;KITCHEN, WH;KELLY, E
本文对83例出生体重在1000克以下的小儿和112例出生体重在1000 ~ 1500克的小儿进行了2 ~ 5岁脑性瘫痪诊断的稳定性检查。在20例2岁脑瘫儿童中，11例（55%，95%置信区间35.1 - 76.9%）的诊断持续存在; 175例2岁时无脑瘫的儿童中有2例（1.1%）随后发展为脑瘫。所有8名儿童（100%）在2年时持续存在重度或中度脑瘫。在12名脑瘫儿童中，9名在2岁时消失了5年，经常发生轻微的神经异常和左手偏好，但平均心理测试分数与脑瘫儿童相似。在这个队列中，脑瘫在2年不是一个静态的条件，但高估了后来的患病率。
The stability of the diagnosis of cerebral palsy from 2 to 5 years of age was examined in 83 children of birthweight under 1000 gm, and 112 of birthweight 1000 to 1500 gm. In 20 2-year-old children with cerebral palsy, the diagnosis persisted in 11 (55%, 95% confidence intervals 35.1 to 76.9%); 2 of 175 children (1.1%) free of cerebral palsy at 2 years of age subsequently developed the condition. Severe or moderate cerebral palsy at 2 years persisted in all eight children (100%). In 9 of 12 children in whom cerebral palsy at 2 years had disappeared by 5 years, minor neurologic abnormalities and left-hand preference occurred frequently but mean psychologic test scores were similar to children always free of cerebral palsy. In this cohort, cerebral palsy at 2 years was not a static condition, but overestimated later prevalence.