Suzuki H
Division of Child Neurology, National Center Hospital for Mental, Nervous, and Muscular Disorders, Tokyo.
No To Hattatsu. 1990 Jan;22(1):50-4.
Patterns of disabilities in 830 severely retarded children aged 6-14 years identified through the prevalence study in Tokyo were analyzed. Severely retarded children were defined as those who neither capable to walk nor have their IQs over 35. Sixty-four percent of the total children belonged to class 1 of Ooshima's classification (bedridden and IQs less than 20) and most of the others belonged to class 2 of Ooshima's classification (those who able to sit alone and IQs less than 20). The percentages of the complications were as follows; epilepsy 84%, visual disturbance 40%, respiratory distress 30%, and feeding difficulty 46%. Sixteen percent of the total children were institutionalized. We conclude that the proportion of the most severe retardation has become larger than before and that the day care service for such children at their homes will be more important.
对通过东京患病率研究确定的830名6至14岁重度智障儿童的残疾模式进行了分析。重度智障儿童被定义为既不能行走且智商又不超过35的儿童。总儿童数的64%属于大岛分类的1级（卧床不起且智商低于20），其他大多数属于大岛分类的2级（能够独自坐立且智商低于20）。并发症的百分比情况如下：癫痫84%、视力障碍40%、呼吸窘迫30%以及喂养困难46%。总儿童数的16%被送入了机构。我们得出结论，最严重智障的比例已比以前有所增加，并且为这类儿童提供家庭日托服务将更为重要。
