Barzegar Mohammad, Dastgiri Saeed, Karegarmaher Mohammad H, Varshochiani Ali
Department of Pediatrics, Tabriz University of Medical Sciences, Iran.
BMC Neurol. 2007 Aug 5;7:22. doi: 10.1186/1471-2377-7-22.
This study was carried out to investigate the incidence, annual time trend and some epidemiological and clinical features of Guillain-Barre syndrome in children in the north west of Iran.
In this population-based cross sectional research, epidemiological and clinical features of 143 cases with Guillain-Barre syndrome between 2001 and 2006 were studied. The setting of the study was Tabriz Children Medical Centre, the major University-Hospital located in Tabriz city of the East Azarbaijan province covering whole region. Data collected included age, gender, chronological information, preceding events, functional grade of motor deficit.
The mean age (standard deviation) of subjects was 5.4 (3.6) years. The male/female ratio was 1.3. The average annual incidence rate was 2.27 per 100 000 population of 15 years children (CI95%: 1.9-2.6). The majority of cases occurred in March, July and November and the highest proportion of the syndrome was observed in winter (29 percent, P > 0.10).
The results indicated that an unexpected high incidence of Guillain-Barre syndrome has occurred in 2003 in the region. We concluded that a monitoring and surveillance system for Guillain-Barre syndrome is essential to set up in this region.
本研究旨在调查伊朗西北部儿童吉兰-巴雷综合征的发病率、年度时间趋势以及一些流行病学和临床特征。
在这项基于人群的横断面研究中,对2001年至2006年间143例吉兰-巴雷综合征患儿的流行病学和临床特征进行了研究。研究地点为大不里士儿童医学中心,这是位于东阿塞拜疆省大不里士市的主要大学医院,覆盖整个地区。收集的数据包括年龄、性别、时间信息、前驱事件、运动功能障碍分级。
研究对象的平均年龄(标准差)为5.4(3.6)岁。男女比例为1.3。15岁以下儿童的年平均发病率为每10万人2.27例(95%置信区间:1.9 - 2.6)。大多数病例发生在3月、7月和11月,该综合征在冬季的比例最高(29%,P > 0.10)。
结果表明,2003年该地区吉兰-巴雷综合征的发病率意外升高。我们得出结论,该地区必须建立吉兰-巴雷综合征监测系统。