沙特阿拉伯吉达某三级医疗中心脑瘫的患病率、类型及预后情况

Prevalence, Types, and Outcomes of Cerebral Palsy at a Tertiary Center in Jeddah, Saudi Arabia.

作者信息

Al-Jabri Basma A, Al-Amri Alia S, Jawhari Abdulkarim A, Sait Raghad M, Talb Reham Y

机构信息

Pediatrics/Developmental Behavioral Pediatrics, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.

Pediatrics, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.

出版信息

Cureus. 2022 Aug 5;14(8):e27716. doi: 10.7759/cureus.27716. eCollection 2022 Aug.

Abstract

BACKGROUND

In developed countries, cerebral palsy (CP) is the most common neurological disorder in children. It is defined as a non-progressive disturbance to the developing brain leading to motor impairment that affects the child's activity. CP is classified into three main subtypes: ataxic, spastic, and mixed.  Objectives: This study aimed to estimate the prevalence of CP and its subtypes in a single tertiary center located in Jeddah, Saudi Arabia.

METHOD

This retrospective record review study included 98 patients diagnosed with CP from 2004 to 2019. Data were extracted from the hospital medical record and assessed using various tools.  Result: The total number of patients was 98, with an estimated CP prevalence of 1.6 per 1000 lives. Most of the patients (74.8%) had spastic CP subtype, and 54.8% had quadriplegia. The mean age of the live children was 7.45 ± 3.76 years. Moreover, gastrostomy was the most favorable feeding method.  Conclusion: The prevalence of CP is almost equivalent to the national and worldwide figures. Spastic CP has the highest rates. Furthermore, the male gender has been identified as a significant risk factor for CP in the local community.

摘要

背景

在发达国家,脑瘫(CP)是儿童中最常见的神经疾病。它被定义为发育中的大脑出现的非进行性障碍,导致影响儿童活动的运动障碍。CP主要分为三种亚型:共济失调型、痉挛型和混合型。目的:本研究旨在估计位于沙特阿拉伯吉达的一家三级中心中CP及其亚型的患病率。

方法

这项回顾性记录审查研究纳入了2004年至2019年期间诊断为CP的98例患者。数据从医院病历中提取,并使用各种工具进行评估。结果:患者总数为98例,估计CP患病率为每1000例活产中1.6例。大多数患者(74.8%)为痉挛型CP亚型,54.8%为四肢瘫痪。存活儿童的平均年龄为7.45±3.76岁。此外,胃造口术是最常用的喂养方法。结论:CP的患病率几乎与全国和全球数据相当。痉挛型CP的比例最高。此外,男性已被确定为当地社区中CP的一个重要风险因素。

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