Arens L J, Molteno C D
Department of Paediatrics & Child Health, Red Cross War Memorial Children's Hospital, Rodenbosch, Cape, South Africa.
Dev Med Child Neurol. 1989 Apr;31(2):246-54. doi: 10.1111/j.1469-8749.1989.tb03985.x.
The importance of socio-economic conditions in the causation of postnatally-acquired cerebral palsy has not been stressed in previous studies. A comparative survey was undertaken in Cape Town, South Africa. Three ethnic groups were compared--white, coloured (mixed ancestry) and black. The percentage of postnatally-acquired cerebral palsy in these groups was 13.2, 24.0 and 36.1 per cent, respectively. These figures can be explained by the differing socio-economic conditions of each group, the white group belonging to the highest socio-economic stratum and the black group to the lowest. The main causes of postnatally-acquired cerebral palsy were cerebral infections (particularly meningitis), cerebral trauma and cerebrovascular accidents. The proportion in each group, the main causal factors, age at onset, types of cerebral palsy and intellectual status are similar to those of most previous studies.
社会经济状况在产后获得性脑瘫病因中的重要性在以往研究中未得到强调。在南非开普敦进行了一项比较调查。比较了三个种族群体——白人、混血儿(混合血统)和黑人。这些群体中产后获得性脑瘫的比例分别为13.2%、24.0%和36.1%。这些数字可以用每个群体不同的社会经济状况来解释,白人群体属于社会经济最高阶层,黑人群体属于最低阶层。产后获得性脑瘫的主要原因是脑部感染(特别是脑膜炎)、脑外伤和脑血管意外。每个群体中的比例、主要因果因素、发病年龄、脑瘫类型和智力状况与以往大多数研究相似。