Badawi N, Watson L, Petterson B, Blair E, Slee J, Haan E, Stanley F
Neonatology, King Edward Memorial Hospital, Perth, Western Australia.
Dev Med Child Neurol. 1998 Aug;40(8):520-7. doi: 10.1111/j.1469-8749.1998.tb15410.x.
Cerebral palsy (CP) is a term of convenience applied to a group of motor disorders of central origin defined by clinical description. It is not a diagnosis in that its application infers nothing about pathology, aetiology, or prognosis. It is an umbrella term covering a wide range of cerebral disorders which result in childhood motor impairment. The precise inclusion criteria vary with the objectives for using the term. For meaningful comparison of rates of CP, as performed by and between CP registers, it is important that the rates should be generated using the same criteria. As generally understood there must be motor impairment, and this impairment must stem from a malfunction of the brain (rather than spinal cord or muscles). Furthermore, the brain malfunction must be non-progressive and it must be manifest early in life. For the purposes of comparisons of rates across time even when the condition meets all the above criteria, it must not historically have been excluded from the category of CP. This paper addresses the problem of standardizing the inclusion criteria for selecting people included on CP registers with particular reference to this last criterion.
脑瘫（CP）是一个为方便起见而使用的术语，用于指代一组根据临床描述确定的中枢性起源的运动障碍。它并非一种诊断，因为使用该术语并不能推断出任何有关病理、病因或预后的信息。它是一个涵盖范围广泛的脑部疾病的统称，这些疾病会导致儿童期运动功能受损。确切的纳入标准会因使用该术语的目的而有所不同。对于脑瘫登记机构所进行的以及相互之间的脑瘫发病率的有意义比较而言，重要的是发病率应使用相同的标准来计算。通常理解，必须存在运动功能障碍，且这种障碍必须源于大脑（而非脊髓或肌肉）的功能故障。此外，大脑功能故障必须是非进行性的，并且必须在生命早期就表现出来。为了进行不同时间发病率的比较，即使病情符合上述所有标准，在历史上它也不能被排除在脑瘫类别之外。本文特别针对最后这一标准，探讨了脑瘫登记机构中入选人员纳入标准的标准化问题。
