早产史儿童脑瘫的早期诊断与治疗
Early Diagnosis and Treatment of Cerebral Palsy in Children with a History of Preterm Birth.
作者信息
Spittle Alicia J, Morgan Catherine, Olsen Joy E, Novak Iona, Cheong Jeanie L Y
机构信息
Physiotherapy, University of Melbourne, 161 Barry Street, Parkville 3052, Australia; Victorian Infant Brain Studies, Murdoch Children's Research Institute, 50 Flemington Road, Parkville 3052, Australia; Neonatal Services, The Royal Women's Hospitals, Cnr Flemington Road and Grattan Street, Parkville 3052, Australia.
Cerebral Palsy Alliance, Child and Adolescent Health, The University of Sydney, Sydney NSW 2006, Australia.
出版信息
Clin Perinatol. 2018 Sep;45(3):409-420. doi: 10.1016/j.clp.2018.05.011. Epub 2018 Jul 2.
Infants born preterm are at increased risk of cerebral palsy (CP), with the risk increasing with decreasing gestational age. Although preterm children are at increased risk of CP compared with their term-born peers, most preterm children do not have CP and thus, it is important to have a standardized process for detecting those children at high risk of CP early. A combination of clinical history, neuroimaging, and physical examination is recommended to ensure early, accurate diagnosis. Early detection of CP is essential for timely early intervention to optimize outcomes for children and their families.
早产出生的婴儿患脑瘫（CP）的风险增加，且风险随着孕周的减少而增加。尽管与足月儿相比，早产儿患脑瘫的风险增加，但大多数早产儿并未患脑瘫，因此，拥有一个标准化流程以早期检测出那些患脑瘫高风险的儿童非常重要。建议结合临床病史、神经影像学检查和体格检查以确保早期、准确的诊断。早期发现脑瘫对于及时进行早期干预以优化儿童及其家庭的预后至关重要。
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