河南省脑性瘫痪儿童登记管理及监测网络建设与数据分析

doi:10.3969/j.issn.1006-9771.2020.08.003

Abstract

Abstract:

Objective To introduce the construction of Henan Cerebral Palsy Register and Rehabilitation Management System (HCPRRMS) and to explore the construction project of regional register and surveillance of cerebral palsy.Methods The construction process, registration content and preliminary results of HCPRRMS were systematically introduced.Results HCPRRMS was independent developed in 2014. Since March, 2015, the system has been used to register information of patients with cerebral palsy in the Third Affiliated Hospital of Zhengzhou University. Until September, 2019, a total of 23 child rehabilitation institutions had used the registration management system. There were 1357 patients with cerebral palsy registered in this system, in which 936 cases (68.98%) were male, 501 cases (36.92%) were with gestational weeks < 37, 443 cases (32.65%) were with birth weight < 2500 g, and 430 cases (31.69%) were born with hypoxic-ischemic encephalopathy. Among them, the spastic cerebral palsy patients (1117 cases, 86.74%) accounted for the highest proportion. There was significant difference among types of cerebral palsy and the classification of GMFCS. A total of 1117 patients with cerebral palsy showed MRI-identified brain abnormalities, in which, periventricular leukomalacia accounted for the most (480 cases). For the complications, epilepsy accounted for 14.44% (196 cases), vision impairment accounted for 8.03% (109 cases), hearing impairment accounted for 11.64% (158 cases). Among 769 cases aged more than two years, language-speech dysfunction accounted for 52.66% (424 cases); and among 216 cases aged more than four years, mental retardation accounted for 37.96% (82 cases). Conclusion HCPRRMS could help to understand the risk factors, clinical characteristics, and complications of cerebral palsy.

Key words: cerebral palsy, registration management, network construction

CLC Number:

R742.3

YUAN Jun-ying,WANG Yi-wen,WANG Jun,LIU Jie,CUI Bo,CAI Zhi-jun,CHEN Hai,GAO Yong-qiang,LIU Feng-wei,NIU Guo-hui,SU Chun-ya,WANG Jun-hui,WANG Liang,XIONG Hua-chun,ZHAI Hong-yin,ZHU Deng-na. Primary Study of Henan Cerebral Palsy Register and Rehabilitation Management System[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(8): 885-891.

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References 27

[1]	Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006 [published correction appears in Dev Med Child Neurol, 2007, 49(6): 480]. Dev Med Child Neurol Suppl, 2007, 109:8-14.
[2]	中国康复医学会儿童康复专业委员会, 中国残疾人康复协会小儿脑性瘫痪康复专业委员会, 《中国脑性瘫痪康复指南》编委会. 中国脑性瘫痪康复指南(2015):第一部分[J]. 中国康复医学杂志, 2015, 30(7):747-754.
	Pediatric Rehabilitation Committee of China Association Rehabilitation Medicine, Cerebral Palsy Rehabilitation Professional Committee of China Association of Rehabilitation of Disabled Persons, Editorial Committee of "Chinese Cerebral Palsy Rehabilitation Guidelines". Chinese Cerebral Palsy Rehabilitation Guidelines (2015): Part One[J]. Chin J Rehabil Med, 2015, 30(7):747-754.
[3]	Oskoui M, Coutinho F, Dykeman J, et al. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis[J]. Dev Med Child Neurol, 2013, 55(6):509-519. doi: 10.1111/dmcn.12080
[4]	李晓捷, 邱洪斌, 姜志梅, 等. 中国十二省市小儿脑性瘫痪流行病学特征[J]. 中华实用儿科临床杂志, 2018, 33(5):378-383.
	Li X J, Qiu H B, Jiang Z M, et al. Epidemiological characteristics of cerebral palsy in twelve provinces in China[J]. Chin J Appl Clin Pediatr, 2018, 33(5):378-383.
[5]	Surveillance of Cerebral Palsy in Europe. Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Surveillance of Cerebral Palsy in Europe (SCPE)[J]. Dev Med Child Neurol, 2000, 42(12):816-824. doi: 10.1111/j.1469-8749.2000.tb00695.x
[6]	Galea C, McIntyre S, Smithers-Sheedy H, et al. Cerebral palsy trends in Australia (1995-2009): a population-based observational study[J]. Dev Med Child Neurol, 2019, 61(2):186-193. doi: 10.1111/dmcn.14011
[7]	Van Naarden Braun K, Schieve L, Daniels J, et al. Relationships between multiple births and autism spectrum disorders, cerebral palsy, and intellectual disabilities: autism and developmental disabilities monitoring (ADDM) network-2002 surveillance year[J]. Autism Res, 2008, 1(5):266-274. doi: 10.1002/aur.41 pmid: 19360679
[8]	Chen A, Dyck Holzinger S, Oskoui M, et al. Losing a diagnosis of cerebral palsy: a comparison of variables at 2 and 5 years[J]. Dev Med Child Neurol, 2020, 62(1):83-88. doi: 10.1111/dmcn.v62.1
[9]	肖丽萍, 史惟, 康淑蓉, 等. 上海市闵行区脑瘫登记管理的初步结果[J]. 中国康复理论与实践, 2010, 16(7):613-616.
	Xiao L P, Shi W, Kang S R, et al. Registry and management for cerebral palsy in Minhang district of Shanghai[J]. Chin J Rehabil Theory Pract, 2010, 16(7):613-616.
[10]	马冬梅, 姜志梅, 马玉廷, 等. 佳木斯市区脑性瘫痪儿童登记管理初探[J]. 中国康复理论与实践, 2013, 19(11):1096-1098.
	Ma D M, Jiang Z M, Ma Y T, et al. Cerebral palsy registration in Jiamusi, Heilongjiang[J]. Chin J Rehabil Theory Pract, 2013, 19(11):1096-1098.
[11]	王军, 朱登纳, 王宝珍, 等. 河南省小儿脑瘫流行病学现况调查及分析[J]. 中华物理医学与康复杂志, 2015, 37(2):142-145.
	Wang J, Zhu D N, Wang B Z, et al. The current status of cerebral palsy in Henan Province[J]. Chin J Phys Med Rehabil, 2015, 37(2):142-145.
[12]	Palisano R J, Rosenbaum P, Bartlett D, et al. Content validity of the expanded and revised Gross Motor Function Classification System[J]. Dev Med Child Neurol, 2008, 50(10):744-750. doi: 10.1111/j.1469-8749.2008.03089.x pmid: 18834387
[13]	Himmelmann K, Horber V, De La Cruz J, et al. MRI Classification System (MRICS) for children with cerebral palsy: development, reliability, and recommendations[J]. Dev Med Child Neurol, 2017, 59(1):57-64. doi: 10.1111/dmcn.13166 pmid: 27325153
[14]	Fisher R S, Acevedo C, Arzimanoglou A, et al. ILAE official report: a practical clinical definition of epilepsy[J]. Epilepsia, 2014, 55(4):475-482. doi: 10.1111/epi.12550
[15]	Philip S S, Dutton G N. Identifying and characterising cerebral visual impairment in children: a review[J]. Clin Exp Optom, 2014, 97(3):196-208. doi: 10.1111/cxo.12155
[16]	World Health Organization. Report of the first informal consultation on future programme developments for the prevention of deafness and hearing impairment[R/OL]. Geneva: World Health Organization, 1997. [2016- 06- 22]. http://apps.who.int/iris/bitstream/10665/63421/ WHO_PDH_97.3.pdf.
[17]	李胜利. 言语治疗学[M]. 北京: 华夏出版社, 2004: 1.
	Li S L. Speech Therapy [M]. Beijing: Huaxia Publishing House, 2004: 1.
[18]	美国精神医学学会. 精神障碍诊断与统计手册(案头参考书)(第五版)[M]. 张道龙,译. 北京: 北京大学出版社, 2014: 15.
	American Psychiatric Association. Diagnostic and Statistical-Manual of Mental Disorders (5th edition) [M]. Beijing: Peking University Press, 2014: 15.
[19]	Novak I, Morgan C, Adde L, et al. Early, accurate diagnosis and early intervention in cerebral palsy: advances in diagnosis and treatment[J]. JAMA Pediatr, 2017, 171(9):897-907. doi: 10.1001/jamapediatrics.2017.1689 pmid: 28715518
[20]	Goldsmith S, McIntyre S, Smithers-Sheedy H, et al. An international survey of cerebral palsy registers and surveillance systems[J]. Dev Med Child Neurol, 2016, 58(Suppl 2):11-17.
[21]	Jonsson U, Eek M N, Sunnerhagen K S, et al. Cerebral palsy prevalence, subtypes, and associated impairments: a population-based comparison study of adults and children[J]. Dev Med Child Neurol, 2019, 61(10):1162-1167. doi: 10.1111/dmcn.14229 pmid: 30950519
[22]	Korzeniewski S J, Birbeck G, DeLano M C, et al. A systematic review of neuroimaging for cerebral palsy[J]. J Child Neurol, 2008, 23(2):216-227. doi: 10.1177/0883073807307983 pmid: 18263759
[23]	Reid S M, Dagia C D, Ditchfield M R, et al. Population-based studies of brain imaging patterns in cerebral palsy[J]. Dev Med Child Neurol, 2014, 56(3):222-232. doi: 10.1111/dmcn.12228
[24]	Stephens J R, Sams C. Hemiconvulsion-Hemiplegia-Epilepsy Syndrome[J]. J Pediatr, 2017, 182:399. doi: 10.1016/j.jpeds.2016.12.027
[25]	van Gorp M, Hilberink S R, Noten S, et al. The epidemiology of cerebral palsy in adulthood: a systematic review and meta-analysis of the most frequently studied outcomes[J]. Arch Phys Med Rehabil, 2020, 101(6):1041-1052. doi: 10.1016/j.apmr.2020.01.009
[26]	Guzzetta A, Fazzi B, Mercuri E, et al. Visual function in children with hemiplegia in the first years of life[J]. Dev Med Child Neurol, 2001, 43(5):321-329. doi: 10.1111/dmcn.2001.43.issue-5
[27]	Reid S M, Meehan E M, Arnup S J, et al. Intellectual disability in cerebral palsy: a population-based retrospective study[J]. Dev Med Child Neurol, 2018, 60(7):687-694. doi: 10.1111/dmcn.2018.60.issue-7

型别	GMFCS分级[n(%]					总计
型别	I级	II级	III级	IV级	V级	总计
痉挛型偏瘫	140(84.85%)	20(12.12%)	5(3.03%)	0	0	165
痉挛型双瘫	162(37.76%)	148(34.5%)	107(24.94%)	12(2.8%)	0	429
痉挛型四肢瘫	0	0	15(14.85%)	61(60.4%)	25(24.75%)	101
不随意运动型	0	5(27.78%)	3(16.67%)	3(16.67%)	7(38.89%)	18
共济失调型	3(30%)	3(30%)	2(20%)	2(20%)	0	10
混合型	1(2.27%)	2(4.55%)	8(18.18%)	14(31.82%)	19(43.18%)	44
总计	306(39.9%)	178(23.21%)	140(18.25%)	92(11.99%)	51(6.65%)	767

Primary Study of Henan Cerebral Palsy Register and Rehabilitation Management System

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