Tezol Özlem, Yalçın Sıddıka Songül
Department of Pediatrics, Mersin University, Faculty of Medicine, Mersin, Turkey.
Department of Social Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Turkey.
Turk Arch Pediatr. 2022 Nov;57(6):591-598. doi: 10.5152/TurkArchPediatr.2022.22213.
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.
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。
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