Hamzat Tal-hatu K, Omotade Temiloluwa T
Department of Physiotherapy, College of Medicine, University College Hospital, Ibadan, Nigeria.
Afr J Health Sci. 2006 Jan-Jun;13(1-2):28-32. doi: 10.4314/ajhs.v13i1.30814.
A 5-year (1999-2004) review of acute flaccid paralysis (AFP) cases managed at the physiotherapy clinic of the University College Hospital, Ibadan Nigeria was carried out. Collection of data involved retrieving the records of all patients seen at the physiotherapy clinic during the study period, from which the paediatric cases were sorted out. The treatment records cards of patients with acute flaccid paralysis were identified and reviewed. Information on age, gender, immunization history, and specific physician diagnosis and discharge practice were collated. A total of 757 paediatric cases reviewed out of which 132 (17.4 %) were AFP case, with mean age of 44.31+ 33.03 months and a 1.2:1.0 male: female ratio. Sciatic nerve palsy accounted for majority (72.0 %) of the AFP; only 43.2 % of the patients had completed immunization before the onset; majority of the cases (78.8 %) were referred to physiotherapy within 6 months of onset and the discharge pattern revealed that only 9.8 % of the patients were formally discharged. With injection palsy accounting for majority of the AFP cases, the need for caution in administration of intramuscular injections at the buttocks of children with febrile illnesses is suggested. Importance of adequate documentation of clinical information by clinicians is also emphasised.
对尼日利亚伊巴丹大学学院医院理疗科1999年至2004年期间处理的急性弛缓性麻痹（AFP）病例进行了为期5年的回顾。数据收集包括检索研究期间在理疗科就诊的所有患者的记录，从中筛选出儿科病例。确定并审查了急性弛缓性麻痹患者的治疗记录卡。整理了有关年龄、性别、免疫史、具体医生诊断和出院情况的信息。共审查了757例儿科病例，其中132例（17.4%）为AFP病例，平均年龄为44.31±33.03个月，男女比例为1.2:1.0。坐骨神经麻痹占AFP的大多数（72.0%）；只有43.2%的患者在发病前完成了免疫接种；大多数病例（78.8%）在发病后6个月内转诊至理疗科，出院模式显示只有9.8%的患者正式出院。由于注射性麻痹占AFP病例的大多数，建议对患有发热性疾病的儿童在臀部进行肌肉注射时要谨慎。还强调了临床医生充分记录临床信息的重要性。
