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首页> 外文期刊>European journal of paediatric neurology: EJPN : official journal of the European Paediatric Neurology Society >Bilateral spastic cerebral palsy-Prevalence through four decades, motor function and growth.
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Bilateral spastic cerebral palsy-Prevalence through four decades, motor function and growth.

机译：双侧痉挛性脑瘫的患病率持续了四个十年，运动功能和生长。

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The aim was to depict changes in the prevalence and severity of bilateral spastic cerebral palsy (CP) over a 40-year period. Another objective was to characterise the group born in 1991-1998 with respect to gross motor function, spasticity and growth. Data were obtained from the CP register of western Sweden and rehabilitation records. RESULTS: After a rise to 1.27 per 1000 live births in 1983-1986, the prevalence decreased significantly, in children born both preterm and at term, to 0.69 in 1995-1998. After 1975, more children were born preterm than at term. There was a significant decrease in severe bilateral spastic CP during the same period, mainly in children born at term. In all, 46% of the children born at term and 33% of those born preterm had a severe motor impairment, i.e. no walking ability. In the 167 children born in 1991-1998, the gross motor function classification system (GMFCS) level was I in 14%, II in 34%, III in 10%, IV in 25% and V in 17%. The GMFCS level correlated with the gross motor function measure (GMFM) and the Ashworth spasticity scores, as well as with the deviation in postnatal weight and height. We conclude that the prevalence of bilateral spastic CP has decreased since the mid-1980s, parallel to a reduction in the severity of the motor impairment. Children born preterm have predominated since the mid-1970s. The severity of the motor impairment correlated with the degree of spasticity, GMFM and growth. The percentage of children who were underweight was substantial.
机译：目的是描述40年来双侧痉挛性脑瘫（CP）的患病率和严重程度的变化。另一个目标是在1991-1998年出生的人的总体运动功能，痉挛和成长方面进行特征描述。数据来自瑞典西部的CP登记册和康复记录。结果：在1983-1986年每千名活产婴儿中上升1.27个之后，早产和足月儿的患病率显着下降，1995-1998年降至0.69。 1975年以后，早产儿比足月儿多。同期，严重的双侧痉挛性CP明显减少，主要发生在足月儿。总共有46％的足月儿和33％的早产儿有严重的运动障碍，即没有步行能力。在1991-1998年出生的167名儿童中，总运动功能分类系统（GMFCS）的水平为I（14％），II（34％），III（10％），IV（25％）和V（17％）。 GMFCS水平与总运动功能量度（GMFM）和Ashworth痉挛评分以及出生后体重和身高的偏差相关。我们得出的结论是，自1980年代中期以来，双侧痉挛性CP的患病率下降了，与此同时，运动障碍的严重程度也有所降低。自1970年代中期以来，早产儿占主导地位。运动障碍的严重程度与痉挛程度，GMFM和生长相关。体重不足的儿童比例很高。

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