Machida Y, Yano Y, Suzuki H, Hirayama Y, Arai Y
Kibo-no-Yiye Ryoiku Hospital, Gunma.
No To Hattatsu. 1993 May;25(3):237-9.
Children were studied on distribution of the severely mentally and physically disabled aged 6 to 15 years in Gunma Prefecture as of September 1, 1991. They were all bedridden or able to sit, but could not stand or walk, even with support. Today, all the Japanese should attend elementary school as well as junior high school. Even though they are severely disabled, they are all registered by the regional Board of Education, where we could get exact data on the disabled children throughout Gunma Prefecture. We collaborated with the regional Board of Education, the Child Consultation Center of Gunma Prefecture and 6 hospitals for the disabled. A total of 129 cases were found. The population of schoolboys and schoolgirls aged 6 to 15 years of age was 236,000, most of whose guardians were residents of this prefecture, and the prevalence rate was 0.55/1000. Among 129 cases, 53 cases (41.1%) were institutionalized and 76 cases (58.9%) were cared for at home. Fifty-nine cases (45.7%) were males and 70 cases (54.3%) were females. Thirty-four cases were aged 6 to 7 years (26.4%) and older cases declined probably due to premature deaths. Ninety-four of the 129 cases (72.9%) were bedridden and mentally retarded with IQs 20 or less.
对群马县截至1991年9月1日的6至15岁重度身心残疾儿童的分布情况进行了研究。他们均卧床不起或只能坐着，但即使有人搀扶也无法站立或行走。如今，所有日本儿童都应接受小学和初中教育。尽管他们重度残疾，但都在地区教育委员会登记在册，我们能够从那里获取群马县所有残疾儿童的准确数据。我们与地区教育委员会、群马县儿童咨询中心以及6家残疾儿童医院进行了合作。共发现129例病例。6至15岁的男女生人口为23.6万，其监护人大多为本县居民，患病率为0.55/1000。在129例病例中，53例（41.1%）被收容机构照料，76例（58.9%）在家中得到照料。59例（45.7%）为男性，70例（54.3%）为女性。34例年龄在6至7岁（26.4%），年龄较大的病例数量减少可能是由于过早死亡。129例病例中有94例（72.9%）卧床不起且智力发育迟缓，智商在20或以下。
