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从社会儿科学角度对脑性瘫痪预防的综述

Review on Prevention of Cerebral Palsy from the Perspective of Social Pediatrics.

作者信息

Tezol Özlem, Yalçın Sıddıka Songül

机构信息

Department of Pediatrics, Mersin University, Faculty of Medicine, Mersin, Turkey.

Department of Social Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

出版信息

Turk Arch Pediatr. 2022 Nov;57(6):591-598. doi: 10.5152/TurkArchPediatr.2022.22213.


DOI:10.5152/TurkArchPediatr.2022.22213
PMID:36314954
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9682858/
Abstract

Cerebral palsy is a static encephalopathy with multiple etiologies. Several interventions toward perinatal risk factors, intrapartum asphyxia, and head injury or infection have been evaluated in order to deal with irreversible brain damage. Antenatal-intrapartum and neonatal interventions mainly focus on preventing hypoxia, oxidative stress, inflammation, and growth restriction. Among these preventive interventions, magnesium sulfate for neuroprotection of the fetus in women at risk of preterm birth and therapeutic hypothermia (cooling of body or just brain) for newborns with hypoxic-ischemic encephalopathy have effectively reduced cerebral palsy risk. There is still a lack of literature on the effectiveness of preventive interventions toward postnatally acquired brain injury. Social pediatricians are concerned with identifying, reducing, or eliminating risk factors of cerebral palsy and encourage a comprehensive approach to providing integrated and personalized care to children with cerebral palsy with the support of their families and communities.

摘要

脑瘫是一种病因多样的静态脑病。为应对不可逆的脑损伤,人们对针对围产期危险因素、产时窒息以及头部损伤或感染的多种干预措施进行了评估。产前-产时及新生儿期干预主要侧重于预防缺氧、氧化应激、炎症和生长受限。在这些预防性干预措施中,硫酸镁用于对有早产风险的女性胎儿进行神经保护,而治疗性低温(全身或仅脑部降温)用于治疗缺氧缺血性脑病的新生儿,均有效降低了脑瘫风险。关于针对出生后获得性脑损伤的预防性干预措施的有效性,目前仍缺乏文献报道。社会儿科医生关注识别、减少或消除脑瘫的危险因素,并鼓励在家庭和社区的支持下,采取综合方法为脑瘫患儿提供综合和个性化的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d835/9682858/b31bf1859080/tap-57-6-591_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d835/9682858/b31bf1859080/tap-57-6-591_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d835/9682858/b31bf1859080/tap-57-6-591_f001.jpg

相似文献

[1]
Review on Prevention of Cerebral Palsy from the Perspective of Social Pediatrics.

Turk Arch Pediatr. 2022-11

[2]
Antenatal and intrapartum interventions for preventing cerebral palsy: an overview of Cochrane systematic reviews.

Cochrane Database Syst Rev. 2017-8-8

[3]
Neonatal interventions for preventing cerebral palsy: an overview of Cochrane Systematic Reviews.

Cochrane Database Syst Rev. 2018-6-20

[4]
Magnesium sulphate for women at risk of preterm birth for neuroprotection of the fetus.

Cochrane Database Syst Rev. 2024-5-10

[5]
Antecedents of cerebral palsy and perinatal death in term and late preterm singletons.

Obstet Gynecol. 2013-10

[6]
Risk Factors and Outcomes for Cerebral Palsy With Hypoxic-Ischemic Brain Injury Patterns Without Documented Neonatal Encephalopathy.

Neurology. 2024-3-26

[7]
Defining cerebral palsy: pathogenesis, pathophysiology and new intervention.

Minerva Ginecol. 2009-10

[8]
[Cerebral palsy and perinatal asphyxia (II--Medicolegal implications and prevention)].

Gynecol Obstet Fertil. 2011-3

[9]
Characteristics of Children With Cerebral Palsy in the Post-Therapeutic Hypothermia Era.

J Child Neurol. 2023-3

[10]
Intervention strategies for neonatal hypoxic-ischemic cerebral injury.

Clin Ther. 2006-9

引用本文的文献

[1]
Metabolomics analysis of children with spastic cerebral palsy: a case-control study.

BMC Pediatr. 2025-7-2

[2]
Inflammatory Markers in the Blood of Spastic Cerebral Palsy Children: A Case-Control Study.

Children (Basel). 2025-3-9

本文引用的文献

[1]
Risk factors of cerebral palsy in children: a systematic review and meta-analysis.

Transl Pediatr. 2022-4

[2]
Perinatal care with a view to preventing cerebral palsy.

Dev Med Child Neurol. 2021-2

[3]
Cerebral Palsy: An Overview.

Am Fam Physician. 2020-2-15

[4]
Validation of the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) in a sample of Turkish non-ambulatory children with cerebral palsy.

Turk Pediatri Ars. 2019-3-1

[5]
Current thinking in the health care management of children with cerebral palsy.

Med J Aust. 2019-2-10

[6]
Antenatal prevention of cerebral palsy and childhood disability: is the impossible possible?

J Physiol. 2018-7-21

[7]
Neonatal interventions for preventing cerebral palsy: an overview of Cochrane Systematic Reviews.

Cochrane Database Syst Rev. 2018-6-20

[8]
Antenatal and intrapartum interventions for preventing cerebral palsy: an overview of Cochrane systematic reviews.

Cochrane Database Syst Rev. 2017-8-8

[9]
Arginine supplementation for prevention of necrotising enterocolitis in preterm infants.

Cochrane Database Syst Rev. 2017-4-11

[10]
Cerebral Palsy-Trends in Epidemiology and Recent Development in Prenatal Mechanisms of Disease, Treatment, and Prevention.

Front Pediatr. 2017-2-13

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