Objective To provide the theory for the prevention and treatment of premature cerebral palsy,and analyze the relationship between the risk factors and premature cerebral palsy. Methods From Oct.2008 to Oct.2014,70 cases of cerebral palsy from the disabled rehabilitation were selected as research object,140 cases of healthy examined children were selected as control group with the corresponding period.The clinical data of all the subjects were analyzed. Results A total of 70 cases of cerebral palsy were all accompanied by different degree of movement disorders.For single factor analysis,the history of bad production,repeated vaginal bleeding during pregnancy,elderly parturient,abnormal amniotic fluid,pregnant infection,cord around neck,malposition,whose fathers drank,weight ≤1.5 kg,dystocia,fetal intrauterine distress,neonatal asphyxia,pathologic jaundice,hypoxic ischemic encephalopathy,pneumonia of newborn were all related with cerebral palsy.For Logistic analysis,the history of bad production,abnormal amniotic fluid,fetal intrauterine distress,neonatal asphyxia,pathologic jaundice,hypoxic ischemic encephalopathy,pneumonia of newborn were all risk factors for cerebral palsy. Conclusions Cerebral palsy is related with a variety of factors during antepartum and intrapartum and postpartum periods.Positive prevention,pregnancy examination and perinatal care according to the risk factors for cerebral palsy would reduce the incidence of cerebral palsy.
Key words
premature birth /
cerebral palsy /
risk factors /
Logistic analysis of regression
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 刘锦屏.脑梗死患者瘫痪肢体的康复护理体会[J].中国现代药物应用,2015,9(5):345-346.
[2] 赵鑫.小儿脑性瘫痪危险因素的病例对照研究[D].郑州:郑州大学,2006.
[3] Benedict RE,Patz J,Maenner MJ,et al.Feasibility and reliability of classifying gross motor function among children with cerebral palsy using population-based record surveillance[J].Paediatr Perinat Epidemiol,2011,25(1):88-96.
[4] 林庆.全国小儿脑性瘫痪座谈会纪要[J].中华儿科杂志,1989,27(3):162-163.
[5] Lasry O,Shevell MI,Dagenais L,et al.Cross-sectional comparison of periventricular leukomalacia in preterm and term children[J].Neurology,2010,74(17):1386-1391.
[6] 高美哲,吴起,袁嫣然.早期康复训练治疗早产儿脑损伤的临床研究[J].中国康复理论与实践,2010,16(7):633-634.
[7] McManus BM,Carle AC,Poehlmann J.Effectiveness of part C early intervention physical,occupational,and speech therapy services for preterm or low birth weight infants in Wisconsin,United States[J].Acad Pediatr,2012,12(2):96-103.
[8] 何亦涛,邹良玉,付学军,等.脑梗死后认知损害与神经功能恢复关系的研究[J].神经损伤与功能重建,2013,8(2):456-457.
[9] Sugiura T,Goto T,Ueda H,et al.Periventricular leukomalacia is decreasing in Japan[J].Pediatr Neurol,2012,47(1):3539.
[10] 王春晓,郏晓骏,李雯茹.胎膜早破危险因素分析及干预[J].中华行为医学与脑科学杂志,2005,14(4):338-339.