Karumuna J M, Mgone C S
Department of Paediatrics and Child Health, Muhimbili Medical Centre, Dar es Salaam.
Cent Afr J Med. 1990 Jan;36(1):8-10.
Between December 1985 and July 1986 a study on cerebral palsy was undertaken among the inpatients and outpatients of the department of Paediatrics and Child Health, Muhimbili Medical Centre Centre, Dar Es Salaam. The objective of the study was to determine the clinical pattern of cerebral palsy and its associated handicaps. During this period, 100 children with cerebral palsy 56 boys and 44 girls ranging in age between four months and 10 years were seen. The commonest type of cerebral palsy seen was spastic tetraplegia which occurred in 36 percent of the cases followed by spastic diplegia and hemiplegia seen in 20 and 15 percent of the cases respectively. In 70 children the cerebral palsy was associated with other severe handicaps, the commonest being epilepsy which occurred in 35 percent of the children followed by deafness, speech disorders and blindness. Birth asphyxia, convulsions of undetermined causes, low birth weight, meningitis and cerebral birth trauma were found to be the leading causes of cerebral palsy. As these conditions are largely preventable or amendable to treatment, it is suggested that improvement of antenatal and perinatal care is important in the reduction of the incidence of cerebral palsy.
1985年12月至1986年7月期间，在达累斯萨拉姆穆希姆比利医疗中心儿科与儿童健康科的住院和门诊患者中开展了一项关于脑瘫的研究。该研究的目的是确定脑瘫的临床模式及其相关残疾情况。在此期间，共诊治了100例脑瘫患儿，其中56例为男孩，44例为女孩，年龄在4个月至10岁之间。最常见的脑瘫类型是痉挛性四肢瘫，占病例的36%，其次是痉挛性双瘫和偏瘫，分别占病例的20%和15%。70例患儿的脑瘫伴有其他严重残疾，最常见的是癫痫，35%的患儿患有癫痫，其次是耳聋、言语障碍和失明。发现出生窒息、病因不明的惊厥、低出生体重、脑膜炎和产时脑损伤是脑瘫的主要原因。由于这些情况在很大程度上是可以预防或治疗的，因此建议改善产前和围产期护理对于降低脑瘫发病率很重要。
