Herder G A
Barneavdelingen Nordland Sentralsykehus, Bodø.
Tidsskr Nor Laegeforen. 1998 Feb 20;118(5):706-9.
An increasing prevalence of cerebral palsy has been reported in Sweden and other countries. One Norwegian study shows decreasing incidence, another shows increasing incidence among preterm children. The aim of this study is to describe prevalence of cerebral palsy and its etiology and disability among children in Nordland county who were born between 1977 and 1991. Perinatal mortality in the county declined from 11 per 1,000 in 1973-83 to 7.9 per 1,000 in 1987-91. 62 boys and 31 girls were diagnosed with cerebral palsy. The prevalence was 1.91 in 1977-81, 1.98 in 1982-86 and 2.05 per 1,000 i 1987-91. Among children with a birthweight < 1,500 g the prevalence decreased significantly to; 88.9, 42.7 and 28.8 per 1,000 respectively. Causative factors and disability are presented. Prevalence of cerebral palsy as a measure of quality of perinatal care is discussed, and a recommendation for a central register is made.
瑞典和其他国家均报告称脑瘫患病率呈上升趋势。挪威的一项研究显示发病率在下降，而另一项研究则显示早产儿的发病率在上升。本研究的目的是描述1977年至1991年在诺尔兰郡出生的儿童中脑瘫的患病率、病因及其残疾情况。该郡的围产期死亡率从1973 - 1983年的每1000例11例降至1987 - 1991年的每1000例7.9例。62名男孩和31名女孩被诊断为脑瘫。患病率在1977 - 1981年为每1000例1.91例，1982 - 1986年为每1000例1.98例，1987 - 1991年为每1000例2.05例。在出生体重<1500克的儿童中，患病率显著下降至每1000例分别为88.9例、42.7例和28.8例。文中呈现了致病因素和残疾情况。讨论了将脑瘫患病率作为围产期护理质量衡量指标的情况，并对建立中央登记册提出了建议。
