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 current prevalence and risk factors of infantile cerebral palsy (CP) in children in Ili state,to provide a basis for further study of etiology and prevention of cerebral palsy information. Methods Cluster sampling survey was carried out among children aged 1~6 years old in the eight counties and one city of Ili state,and the data were analyzed by SPSS 17.0 statistical analysis software. Results The average morbidity of infantile CP in Ili state was 1.79‰.The prevalence rate in male and female was significantly different;the male to female ratio was 1.68∶1.00(χ²=33.378,P=0.000).The CP morbidity for Uyghur nationality was higher than that of other ethnic groups,the morbidity for each ethnic group was as follows:2.34‰ for the Uyghur nationality,1.82‰ for the kazahk nationality,1.23‰ for the Hui nationality,1.20‰ for other nationalities,and 0.95‰ for Han (χ²=42.170,P=0.000).CP prevalence rate increased in accordance with the newborn survival rate's improvement.The CP prevalence for the group of children aged 4~6 years old was 1.56‰,1~3 years old group was 2.09‰.The significant differences were observed in all of the data above (χ²=10.801,P=0.001).In the classification of CP,the spastic type was the most,with 68%;the mixed type took 11.3%; the hypotonic type took 11.1%;the dyskinetic type took 8.5%;the ataxia type took 1.2%. Conclusion The survey results can basically reflect current prevalence and risk factors of infantile cerebral palsy in children aged 1~6 years in Ili state,and can be served as a basis for further prevention and treatment of cerebral palsy information.