Nordmark E, Hägglund G, Lagergren J
Department of Physical Therapy, Lund University, Sweden.
Acta Paediatr. 2001 Nov;90(11):1271-6. doi: 10.1080/080352501317130317.
The prevalence, clinical features and gross motor function of children with cerebral palsy in southern Sweden were investigated. The study covered the birth year period 1990-1993, during which 65,514 livebirths were recorded in the area. On the census date (1 January 1998), 68366 children born in 1990-1993 lived in the area. The study comprised 167 children, 145 of them born in Sweden and 22 born abroad. The livebirth prevalence was 2.2 per 1,000, and the prevalence including children born abroad was 2.4 per 1,000. The distribution according to gestational age, birthweight and subdiagnoses was similar to that in earlier Swedish studies, except for a higher rate of dyskinetic syndromes in this study.
The point prevalence of cerebral palsy was 2.4 and the livebirth prevalence was 2.2. Children born abroad had a higher prevalence and were more often severely disabled. Severe disability was often combined with associated impairments such as mental retardation, epilepsy and visual impairment.
对瑞典南部脑瘫患儿的患病率、临床特征和粗大运动功能进行了调查。该研究涵盖1990 - 1993年出生年份期间,此期间该地区记录了65514例活产儿。在普查日期(1998年1月1日),1990 - 1993年出生的68366名儿童居住在该地区。该研究包括167名儿童,其中145名在瑞典出生,22名在国外出生。活产患病率为每1000例中有2.2例,包括国外出生儿童的患病率为每1000例中有2.4例。根据胎龄、出生体重和亚诊断的分布与瑞典早期研究相似,但本研究中运动障碍综合征的发生率较高。
脑瘫的时点患病率为2.4,活产患病率为2.2。国外出生的儿童患病率较高,且更常为重度残疾。重度残疾常与智力发育迟缓、癫痫和视力障碍等相关损伤合并存在。