Anwar S, Chowdhury J, Khatun M, Mollah A H, Begum H A, Rahman Z, Nahar N
Department of Paediatrics, Dhaka Medical College, Dhaka, Bangladesh.
Mymensingh Med J. 2006 Jul;15(2):142-5. doi: 10.3329/mmj.v15i2.32.
This was an analysis of one hundred ten children with cerebral palsy (CP) attending at the Child Development & Neurology Care Center of Dhaka Medical College Hospital during January 2002 to December 2003. These children were observed to study their clinical profile, etiological factors and associated problems. The mean age of these children was 2.9 +/- 2.9 years, mostly being males (n=79, 71.8%). Most of the families of these children belonged to poorer socioeconomic strata. Spastic diplegia constituted the predominant group (34.5 per cent), followed by spastic quadriplegia (25.5 per cent). Dyskinetic CP was present in 15.5 percent of the cases. Hypotonic CP constituted a significant proportion of cases. Delayed Motor Function was observed in all 110 cases, delayed speech was complained in 67.3% cases and impaired hearing was identified in 26.8% CP children. Mothers of 43.6% CP cases reported that they had prolonged labour during delivery and almost one third (29.1%) had suffered from pre-eclampsia or eclampsia. Majority (53.6%) of the CP cases were reported to have had perinatal asphyxia. Comprehensive assessment and early management of these problems are emphasized, which can minimize the extent of disabilities. By proper perinatal care, CP can be prevented.
这是一项对2002年1月至2003年12月期间在达卡医学院医院儿童发育与神经护理中心就诊的110名脑瘫（CP）患儿的分析。对这些患儿进行观察以研究其临床特征、病因及相关问题。这些患儿的平均年龄为2.9±2.9岁，大多数为男性（n = 79，71.8%）。这些患儿的大多数家庭属于社会经济较贫困阶层。痉挛型双瘫构成主要类型（34.5%），其次是痉挛型四肢瘫（25.5%）。运动障碍型脑瘫占病例的15.5%。肌张力低下型脑瘫占相当比例。110例患儿均存在运动功能发育迟缓，67.3%的患儿有语言发育迟缓主诉，26.8%的脑瘫患儿存在听力障碍。43.6%的脑瘫患儿母亲报告她们在分娩时产程延长，近三分之一（29.1%）曾患先兆子痫或子痫。据报告，大多数（53.6%）脑瘫病例有围产期窒息。强调对这些问题进行综合评估和早期管理，这可以将残疾程度降至最低。通过适当的围产期护理，可以预防脑瘫。
