《中国康复理论与实践》 ›› 2002, Vol. 8 ›› Issue (01): 32-32.

• 脑瘫康复 • 上一篇    下一篇

脑瘫延迟诊断的原因探讨

李润洁1; 高哓红2; 曲宸绪2   

  1. 1.大连市儿童医院 大连市 116012;2.大连医科大学流行病学教研室 大连市 116027
  • 收稿日期:2001-03-27 出版日期:2002-01-25 发布日期:2002-01-25

Causes of delayed diagnosis in cerebral palsy

LI Run-jie,GAO Xiao-hong,QU Zhen-xu   

  1. Dalian Children’Hospital ,Dalian116012,China
  • Received:2001-03-27 Published:2002-01-25 Online:2002-01-25

摘要: 目的分析我国脑瘫患者延迟诊断的影响因素。方法应用回顾性调查方法,对延迟诊断与患儿相关病史及体征进行分析,采用了SPSS统计软件进行了统计学处理。结果 12个月以内诊断组与 12个月以上诊断组(延迟诊断组),在家长文化程度、患儿的城乡分布、脑瘫类型等方面有非常显著性差异(P<0.01),在高危因素方面无显著差异(P>0.05)。结论提高民族的文化素质,消除城乡差别,普及脑瘫早期诊断及评价知识,提高基层医院的诊断水平以及建立高危新生儿病例的长期监测都将成为减少延迟诊断的重要举措。

关键词: 脑瘫, 延迟诊断, 原因

Abstract: ObjectiveTo investigate the influential factors of delayed diagnosis in the patients with cerebral palsy.Method50 cases with cerebral palsy were divided into 2 groups: beyond-12-months-group(20 cases) and under-12-month-group(30 cases). Their social facters were investigated and analyzed. SPSS statistical software was used.ResultThere is significantly difference between diagnosing group of under 12 months and that of beyond 12 months(the group of delayed diagnosis) in the factors of parents' educational level, the region where patients came from(urban or rural) and the type of cerebral palsy(P<0.01), While there is no difference in high risk factors(P>0.05). ConclusionIt is necessary for reducing delayed diagnosis to raise national cultural level, to eliminate difference between town and country, to spread the knowledge of early diagnosis and evaluation in cerebral palsy, to improve diagnosing ability in local hospitals, and to establish high risk newborns' long-term monitor system.

Key words: cerebral palsy, delayed diagnosis, cause