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Correlation Between Children’s Temperament and Risk Factor of Attention Deficit/Hyperactivity Disodrer in Elementary School 小学儿童气质与注意缺陷/多动障碍危险因素的相关研究
Pub Date : 2019-06-30 DOI: 10.20473/BHSJ.V2I1.12756
Cheifia Krissanti Sasono, Yunias Setiawati, I. Irwanto
Introduction: The main symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) are hyperactivity, impulsivity, and inattention. While temperament in children with ADHD is described as high in negative reactivity, low task persistence, high activity, low attentional focusing, high impulsivity and low inhibitory control. This study aims to analyze the correlation between children’s temperament and risk factor of ADHD.Methods: This study used cross-sectional design with Abbreviated Conners’ Rating Scale and Temperament in Middle Childhood questionnaire for instrument. All data are analyzed using Pearson correlation.Results: Prevalence of children with risks of ADHD from total subject was 21/114 students (18,4%, consisted of 18 males (81%) and 3 females (19%) with average age was 10 years old. The majority of participants were in the sixth grade (28.6%). There was a positive and weak correlation between surgency and ADHD symptoms (3,05 ± 0,75, p=0,045; r=0,44).Conclusion: There was no significant correlation between the negative affect and effortful control dimensions of temperament with severity of ADHD, however this study found a positive and weak correlation between surgency and risk factor of ADHD.
注意力缺陷/多动障碍(ADHD)的主要症状是多动、冲动和注意力不集中。而ADHD儿童的气质被描述为高负性反应,低任务持久性,高活动性,低注意力集中,高冲动性和低抑制性控制。本研究旨在分析儿童气质与ADHD危险因素的相关性。方法:本研究采用横断面设计,以简略康纳斯评定量表和童年中期气质问卷为工具。所有数据均采用Pearson相关分析。结果:总调查对象中有21/114名学生(18.4%)存在ADHD风险,其中男性18人(81%),女性3人(19%),平均年龄为10岁。大多数参与者是六年级(28.6%)。手术与ADHD症状呈正相关或弱相关(3,05±0,75,p=0,045;r = 0, 44)。结论:气质负性情感维度和努力控制维度与ADHD严重程度无显著相关,但本研究发现手术与ADHD危险因素呈正相关且呈弱相关。
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引用次数: 3
Infant Birth Weight in Mothers with Maternal Anemia at Dupak Public Health Center Surabaya Working Area in 2017 2017年杜帕克公共卫生中心泗水工作区域孕产妇贫血母亲的出生体重
Pub Date : 2019-06-30 DOI: 10.20473/BHSJ.V2I1.13239
M. Giovanni, G. Prabowo, Widati Fatmaningrum
Introduction: Anemia in pregnant women is a factor that directly affects the incidence of LBW and can be measured to determine nutritional status during pregnancy. This research is to determine the association of infant birth weight in mothers with maternal anemia at Public Health Center working area in Surabaya.Methods: This research was a cross-sectional approach The sample of this research were 75 pregnant women at Dupak Public Health Center in Surabaya City in 2017 taken by total sampling technique. The data used was taken from the 2017 mother cohort book.Results: The incidence of LBW at Dupak Public Health Center Surabaya working area in 2017 was 12 people (16%). The incidence of anemia at Dupak Public Health Center Surabaya working area in 2017 was 38 people (50.7%). The correlation between LBW and anemia in pregnancy using Chi-Square was p = 0.496.Conclusion: There was no correlation between maternal anemia and LBW There are other factors that can affect the incidence of LBW, such as body weight and maternal height, the number of parity, a short pregnancy distance, and the existence of problems in the history of previous pregnancy and childbirth.
孕妇贫血是直接影响LBW发病率的一个因素,可以通过测量来确定妊娠期间的营养状况。本研究旨在确定泗水市公共卫生中心工作区域母亲的婴儿出生体重与母亲贫血的关系。方法:本研究采用横断面方法,采用全抽样法抽取2017年在泗水市杜帕克公共卫生中心就诊的孕妇75名。使用的数据取自2017年的母亲队列书。结果:2017年泗水杜帕克公共卫生中心工作区域LBW发病率为12人(16%)。2017年Dupak公共卫生中心泗水工作区域贫血发生率为38人(50.7%)。妊娠期体重与贫血的卡方相关性为p = 0.496。结论:产妇贫血与LBW发生率无相关性,影响LBW发生率的因素还有体重、产妇身高、产次、妊娠距离短、既往妊娠分娩史是否存在问题等。
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引用次数: 2
Head Computed Tomography Images of HIV/AIDS Patients with Suspected Cerebral Toxoplasmosis in Dr. Soetomo General Hospital Surabaya 泗水Soetomo总医院疑似脑弓形虫病HIV/AIDS患者的头部计算机断层成像
Pub Date : 2019-06-30 DOI: 10.20473/BHSJ.V2I1.13343
Ria Wibawani, B. Soeprijanto, Widiana Ferriastuti, E. A. Triyono
Introduction: Toxoplasma gondii is an intracellular pathogenic parasite with the majority of co-infections occurring in HIV/AIDS patients. This study assesses the head computed tomography (CT) images of cerebral toxoplasmosis in patients with HIV/AIDS.Methods: This study was a cross-sectional design using head CT images of 35 HIV/AIDS patients with suspected cerebral toxoplasmosis. Variables include lesion type, location, size, CD4 count, and therapeutic result with anti-cerebral toxoplasmosis. All data analysed descriptively.Results: From total 110, 35 patients met the inclusion criteria. 24 patients (68.6%) were male and 11 (31.4%) female, average age, was 36.1. 8 patients (22.3%) had lesions in cortical, 31 patients (88.6%) had < 1 cm lesion. Single lesions mainly calcified and found in the right centrum semiovale while multiple lesions were subcortical. A hypodense lesion with rim or nodular contrast enhancement is found in 75% of patients with CD4 > 200 in contrast to slight rim contrast enhancement and perifocal edema in patients with CD4 < 200. 20 patients (57.4%) had improved condition after anti-toxoplasmosis therapy.Conclusion: Cerebral toxoplasmosis lesions in HIV/AIDS patients have various types of imaging findings, mostly multiple, with most frequent location being cortical and diameter < 1 cm. Total recovery is achieved in the majority of patients with therapy.
刚地弓形虫是一种细胞内致病性寄生虫,多数合并感染发生在HIV/AIDS患者中。本研究评估艾滋病毒/艾滋病患者脑弓形体病的头部计算机断层扫描(CT)图像。方法:对35例疑似脑弓形虫病的HIV/AIDS患者的头部CT图像进行横断面设计。变量包括病变类型、位置、大小、CD4计数和抗脑弓形虫病治疗结果。对所有数据进行描述性分析。结果:110例患者中,35例符合纳入标准。男性24例(68.6%),女性11例(31.4%),平均年龄36.1岁。皮质病变8例(22.3%),< 1cm病变31例(88.6%)。单发病灶主要钙化,见于右侧半瓣膜区,多发病灶位于皮质下。CD4 < 200的患者中75%可见低密度病变伴边缘或结节性增强,而CD4 < 200的患者可见轻度边缘增强伴病灶周围水肿。20例(57.4%)患者经抗弓形虫治疗后病情好转。结论:HIV/AIDS患者脑弓形虫病病变影像学表现类型多样,多为多发,多见于皮质,直径< 1 cm。大多数患者经治疗后均能完全康复。
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引用次数: 3
Etiology Based on Clinical Manifestation of Acute Diarrhea Incidence of Children Hospitalized in Dr. Soetomo General Hospital Surabaya Period 2011-2013 2011-2013年泗水Soetomo总医院住院儿童急性腹泻发病临床表现的病因学分析
Pub Date : 2019-06-30 DOI: 10.20473/BHSJ.V2I1.12744
Ashfahani Imanadhia, I. R. Ranuh, Djohar Nuswantoro
Introduction: Diarrhea is one of the most common causes of morbidity and mortality of children worldwide, especially in developing countries. Acute diarrhea can occur from a large number of causes. We aim to describe the clinical manifestation characteristics of acute diarrhea on pediatric patients that are presented to the hospital.Methods: A cross-sectional study from all pediatric patients treated in Dr. Soetomo General Hospital Surabaya in 2011-2013.Age, gender, nutritional status, length of hospital stay, duration of breastfeeding, clinical signs and symptoms, as well as laboratory results collected and analyzed descriptively.Results: One hundred and fifty patients were included with characteristics of male(54%), infant (55.3%)with a mean age of 6-7 month. History of being exclusively breastfed(54%) and lack of nutrition(48%). Vomiting is mostly present (72.7%) and commonly come with a combination of two symptoms (42%) which were vomiting and fever. Mild to severe dehydration degree could be found on the patient who had vomiting, seizure, and fever. The most length of stay was frequently >72 hours. The occurrence of acute diarrhea on a child who was treated in Dr. Soetomo General Hospital Surabaya is dominated by vomiting and it could be inferred that the most acute diarrhea has a tendency of being caused by a virus, where liquid acute diarrhea without blood, mucus, or fever is found.Conclusion: The etiology of acute diarrhea is mostly caused by viruses and symptoms dominated by a combination of vomiting, fever, and diarrhea without blood caused by villi damage.
简介:腹泻是全世界儿童发病和死亡的最常见原因之一,特别是在发展中国家。急性腹泻可由多种原因引起。我们的目的是描述急性腹泻的儿科患者的临床表现特点,提出了医院。方法:对2011-2013年在泗水Soetomo综合医院接受治疗的所有儿科患者进行横断面研究。年龄、性别、营养状况、住院时间、母乳喂养时间、临床体征和症状,以及收集和描述性分析的实验室结果。结果:纳入150例患者,男性(54%),婴儿(55.3%),平均年龄6-7个月。纯母乳喂养史(54%)和缺乏营养(48%)。呕吐是最常见的症状(72.7%),通常伴有呕吐和发烧两种症状(42%)。出现呕吐、癫痫和发热的患者可出现轻度至重度脱水。最长的停留时间通常为72小时。在泗水Soetomo综合医院接受治疗的一名儿童急性腹泻的发生以呕吐为主,可以推断,最严重的急性腹泻有由病毒引起的倾向,在没有血液、粘液或发烧的液体急性腹泻中发现。结论:急性腹泻病因多为病毒引起,症状以肠绒毛损伤引起的呕吐、发热、无血腹泻为主。
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引用次数: 4
Antibacterial Effects of Fluoride in Streptococcus mutans Growth in Vitro 氟对变形链球菌体外生长的抑菌作用
Pub Date : 2019-06-30 DOI: 10.20473/BHSJ.V2I1.13232
Yura Pradiptama, Marijam Purwanta, Harianto Notopuro
Introduction: Streptococcus mutans is a gram-positive coccus commonly found in the human oral cavity and is a pathogen of dental caries. S. mutans known to form biofilm in infective endocarditis heart-valve. Fluoride usage known to reduce the risk of dental caries. This study aims to analyze how usage of fluoride in inhibiting S. mutans growth.Methods: This study was an experimental study. Antibacterial activity test was performed to evaluate the minimum inhibitory concentration (MIC) using dilution method of sodium fluoride. The minimum bactericidal concentration (MBC) was determined by culturing from the previous dilution test into Chocolate Agar Plate.Results: MIC for sodium fluoride is 4,8 mg/ml and the MBC for sodium fluoride to S. mutans is 4,8 mg/ml. We found S. mutans growth in higher concentration than 19,2 mg/ml. Conclusion: S. mutans was inhibited in dilution test. Growth of the bacteria in higher concentration of sodium fluoride is explained with quasi-irreversible inhibtior effects of fluorida.
简介:变形链球菌是一种常见于人类口腔的革兰氏阳性球菌,是一种引起龋齿的病原体。已知在感染性心内膜炎心脏瓣膜中形成生物膜的变形链球菌。使用氟化物可以降低患龋齿的风险。本研究旨在分析氟的使用如何抑制变形链球菌的生长。方法:本研究为实验研究。采用氟化钠稀释法测定其最低抑菌浓度(MIC)。最低杀菌浓度(MBC)由之前的稀释试验培养到巧克力琼脂平板。结果:氟化钠对变形链球菌的MIC为4.8 mg/ml, MBC为4.8 mg/ml。我们发现变形链球菌的生长浓度高于19.2 mg/ml。结论:稀释试验对变形链球菌有抑制作用。用氟达的准不可逆抑制作用解释了细菌在高浓度氟化钠中的生长。
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引用次数: 6
LDL Level in Ischaemic Stroke Patients at Dr. Soetomo General Hospital Surabaya 泗水Soetomo总医院缺血性脑卒中患者LDL水平
Pub Date : 2019-06-30 DOI: 10.20473/BHSJ.V2I1.12743
Mayori Rachmawati, Paulus Sugianto, Rr. Indrayuni Lukitra Wardhani
Introduction: Stroke is one of the top killers amongst the non-infectious diseases. Ischemic stroke dominates the rate by 87.0% amongst all type of strokes. One of the risk factors for stroke ischemic stroke is atherosclerosis which caused by lipid build-up in the arteries.Methods: This research is a retrospective study on secondary data. Admitted Ischaemic stroke patients. Lipid profile, and Barthel Index were collected from medical record and presented descriptively.Results: Of the 248 patients, 144 (58.1%) were men, mean age was 59.33. 61.7% ischemic stroke patients have their LDL level elevated, 59.7% HDL decreased, 39.1% total cholesterol elevated, and 33.9% TG elevated. This study also observe the dependency based on Barthel Index of the admitted stroke patients. 75% percents amongst subjects were categorized as “total dependece” are having their LDL level elevated.Conclusion: Most of stroke patients have elevated LDL and HDL while the TG and total cholesterol are mostly optimized. Stroke patients whose admitted with “total dependence” most likely to have elevated LDL in this study.
中风是非传染性疾病中的头号杀手之一。缺血性中风在各类中风中占主导地位,占87.0%。缺血性中风的危险因素之一是动脉粥样硬化,这是由动脉中的脂质积聚引起的。方法:本研究采用二手资料回顾性研究。入院的缺血性脑卒中患者。脂质谱和Barthel指数从病历中收集并描述性地呈现。结果:248例患者中,男性144例(58.1%),平均年龄59.33岁。61.7%的缺血性卒中患者LDL升高,59.7%的HDL降低,39.1%的总胆固醇升高,33.9%的TG升高。本研究同时以Barthel指数为基础,观察住院脑卒中患者的依赖状况。在被归类为“完全依赖”的受试者中,75%的人LDL水平升高。结论:大多数脑卒中患者LDL、HDL水平升高,TG、总胆固醇水平优化。在这项研究中,以“完全依赖”入院的中风患者最有可能出现LDL升高。
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引用次数: 3
The Role of Imaging In The Diagnosis of Pulmonary Embolism 影像学在肺栓塞诊断中的作用
Pub Date : 2019-06-30 DOI: 10.20473/BHSJ.V2I1.13281
A. Rosyid, M. Yamin, A. D. Puspitasari
Pulmonary embolism is a common condition and sometimes can be life-threatening. A proper diagnosis can reduce mortality. Some examinations are needed to diagnose pulmonary embolism, including assessing the risk factors, clinical examination, D-dimer tests, and imaging. Imaging is necessary when the previous assessment requires further investigation. There are more imaging that can be used to diagnose and assess the severity of pulmonary embolism. However, it is still controversial regarding imaging modalities for optimizing pulmonary embolism diagnose. Chest X-Ray cannot exclude pulmonary embolism, but it is needed to guide the next examinations and to find alternative diagnoses. Pulmonary Multi-Detector CT Angiography is the gold standard to diagnose pulmonary embolism.
肺栓塞是一种常见的疾病,有时会危及生命。正确的诊断可以降低死亡率。诊断肺栓塞需要一些检查,包括评估危险因素、临床检查、d -二聚体试验和影像学检查。当先前的评估需要进一步调查时,影像学检查是必要的。有更多的影像可用于诊断和评估肺栓塞的严重程度。然而,关于优化肺栓塞诊断的影像学方式仍存在争议。胸部x光不能排除肺栓塞,但需要指导下一步检查和寻找替代诊断。肺部多层螺旋CT血管造影是诊断肺栓塞的金标准。
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引用次数: 1
Characteristic of Hemophilia A Patients in Initial Diagnosis in Dr. Soetomo General Hospital Surabaya 泗水Soetomo总医院A型血友病患者初步诊断的特点
Pub Date : 2019-06-30 DOI: 10.20473/BHSJ.V2I1.12888
Angela Dinaria Kemala Swary, Mia Ratwita Andarsini, Arifoel Hajat
Introduction: This research is conducted to describe the characteristic of Hemophilia A patients.Methods: Cross-sectional study conducted in 55 patients with Hemophilia A. The variables were age, bleeding episode, factor VIII level, and bleeding site. The data presented descriptively.Results: The largest group was 2-10 years old (52,73%). The most common bleeding episode occured in the patients was moderate level (60,0%). The most common patient’s factor VIII level was moderate level (52,7%). The patient’s bleeding most likely took place in muscle or known as hematoma (41,8%). While the less likely bleeding were intracranial and nose bleeding.Conclusion: 2-10 years old patient are the largest group because of hemophilia A mostly diagnosed in childhood, where children are actively moved so that the spontaneous bleeding or abnormal bleeding can be seen easily. Parents needs to be aware if there were abnormal or spontaneous bleeding which takes place in muscle or known as hematoma with moderate episode of bleeding which meant that the occurrence of spontaneous bleeding is periodically happened or in prolonged bleeding accompanied by minor trauma or invasive action.
前言:本研究旨在描述A型血友病患者的特征。方法:对55例a型血友病患者进行横断面研究,变量为年龄、出血发作、凝血因子VIII水平、出血部位。数据以描述性的方式呈现。结果:以2 ~ 10岁年龄组最多(52.73%)。患者中最常见的出血事件为中度出血(60.0%)。最常见的患者因子VIII水平为中等水平(52.7%)。患者的出血最可能发生在肌肉或称为血肿(41.8%)。而不太可能出血的是颅内和鼻出血。结论:2-10岁是A型血友病发病的最大群体,患儿多在儿童期确诊,患儿活动较多,容易发现自发性出血或异常出血。家长需要了解是否有异常或自发性出血发生在肌肉或称为血肿与中度出血发作,这意味着自发性出血的发生是周期性的,或在长期出血伴随轻微创伤或侵入性行动。
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引用次数: 0
Risk Factors for Urinary Tract Infection in Hospitalized Patients 住院患者尿路感染的危险因素
Pub Date : 2019-06-30 DOI: 10.20473/BHSJ.V2I1.11549
H. Setyorini, N. Mardiana, Artaria Tjempakasari
Introduction: Urinary tract infection (UTI) is the most common infection that can be fatal and has higher rate mortality especially in some patient. This study is aim to analyze risk factors for urinary tract infection in hospitalized patients for prevention and more aggressive approach can be taken.Methods: Consecutively, medical records of 285 patients with urinary analysis was recorded for risk factors and urine culture results if suspected UTI. Risk factors for sex, age, urinary catheter, urolithiasis, DM, and immobilization was analyzed with bivariate analysis and multivariate analysis.Results: From 285 patients, 92 patients had UTI with average age was 52.45 years old, 48 (56.49%) were female. Most common pathogen were E. coli (41.3%), Enterobacter sp. (8.8%) and Enterococcus faecalis (7.6 %). From bivariate analysis, geriatric age (>60 years) has RR 1.421 (95% CI 1.015-1.989, p=0.046) and immobilization has RR 1.861 (95% CI 1.266-2.738, p=0.007), whereas sex (RR 1.190 95% CI 0.851 – 1.664, p=0.310), diabetes (RR 1.171 95% CI 0.833 – 1.645, p=0.367), insulin usage (RR 0.900 95% CI 0.519 – 1.561, p= 0.703), glycosuria (RR 1.152 95% CI 0.741 – 1.791, p=0.522), and CKD (RR 1.475 95% CI 0.896 – 2.430, p= 0.126) give insignificant result. From multivariate analysis, urinary catheter has OR 4.506 (95% CI 2.312-8.872, p=0.000), urolithiasis with OR 4.970 (95% CI 1.931-12.787, p=0.001), and hyperglycemia has OR 2.871 (95% CI 1.485-5.551, p=0.002).Conclusion: Geriatric age and immobilization are risk factors for urinary tract infection, and urinary catheter, urolithiasis, and hyperglycemia are independent risk factors for urinary tract infection.
导读:尿路感染(UTI)是最常见的可致死性感染,特别是在某些患者中具有较高的死亡率。本研究旨在分析住院患者尿路感染的危险因素,以便采取更积极的预防措施。方法:连续记录285例尿路分析患者的病历,分析其尿路感染的危险因素及尿培养结果。采用双因素分析和多因素分析对性别、年龄、导尿管、尿石症、糖尿病和固定等危险因素进行分析。结果:285例患者中,92例出现尿路感染,平均年龄52.45岁,其中女性48例(56.49%)。常见病原菌为大肠杆菌(41.3%)、肠杆菌(8.8%)和粪肠球菌(7.6%)。从双变量分析来看,老年年龄(>60岁)的RR为1.421 (95% CI 1.015-1.989, p=0.046),固定的RR为1.861 (95% CI 1.266-2.738, p=0.007),而性别(RR 1.190 95% CI 0.851 - 1.664, p=0.310)、糖尿病(RR 1.171 95% CI 0.833 - 1.645, p=0.367)、胰岛素使用(RR 0.900 95% CI 0.519 - 1.561, p= 0.703)、糖尿症(RR 1.152 95% CI 0.741 - 1.791, p=0.522)和CKD (RR 1.475 95% CI 0.841 - 2.430, p= 0.126)的结果不显著。多因素分析显示,尿管的OR为4.506 (95% CI 2.312-8.872, p=0.000),尿石症的OR为4.970 (95% CI 1.931-12.787, p=0.001),高血糖症的OR为2.871 (95% CI 1.485-5.551, p=0.002)。结论:老年年龄和卧床是尿路感染的危险因素,导尿管、尿石症和高血糖是尿路感染的独立危险因素。
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引用次数: 5
Profile of Cerebral Palsy Patients in Dr. Soetomo General Hospital Surabaya, Indonesia 印度尼西亚泗水Dr. Soetomo总医院脑瘫患者概况
Pub Date : 2019-06-30 DOI: 10.20473/BHSJ.V2I1.12803
Qorina Nadya Salfi, D. Saharso, Atika Atika
Introduction: Limited profile data of Cerebral Palsy (CP) patients in Indonesia leads CP to be a less-known disease. The aim of this study is to describe CP patient’s characteristics, including demographic aspect, gestation and birth history, and CP related condition in Dr. Soetomo General Hospital Surabaya, Indonesia.Methods: Cross-sectional study using medical records of CP patients in Dr. Soetomo General Hospital (Surabaya, Indonesia) Outpatient Installation for Pediatric Neurology from January 2016 to June 2018. Data processed descriptively.Results: From total 107 patients, 50 subjects met inclusion criteria. Mean age was 6.16 years old, with domination of male (3:2), live in Surabaya (56%), malnourished (24%), normal birth weight (80.9%), term age of birth (66.7%), spontaneous labor (60%), and also prenatal events as causes of Cerebral Palsy (69.5%). Pneumonia was found to be most among postnatal events leading to Cerebral Palsy (30%). Most of the type was spastic (9:1) with quadriplegic as the dominating one (64%). Congenital malformation was rarely found (38%), but co-morbidities were found in almost all sample (92%).Conclusion: Gestation and birth history of CP patients are mostly ranged normal. Prenatal etiology is found dominating as the cause of CP, therefore emendation in antenatal care (ANC) shall be considered. Analytical study about CP in Indonesia also must be improved because it is still hardly found.
印度尼西亚脑瘫(CP)患者的资料有限,导致CP是一种鲜为人知的疾病。本研究的目的是描述印度尼西亚泗水Soetomo总医院CP患者的特征,包括人口统计学方面,妊娠和出生史,以及CP相关疾病。方法:对2016年1月至2018年6月印度尼西亚泗水Dr. Soetomo总医院儿科神经病学门诊中心CP患者的病历进行横断面研究。描述性处理的数据。结果:107例患者中,50例符合纳入标准。平均年龄为6.16岁,以男性为主(3:2),居住在泗水(56%),营养不良(24%),出生体重正常(80.9%),足月出生年龄(66.7%),自然分娩(60%),以及产前事件导致脑瘫(69.5%)。在导致脑瘫的产后事件中,肺炎是最多的(30%)。以痉挛性为主(9:1),以四肢瘫痪为主(64%)。先天性畸形很少发现(38%),但几乎所有样本(92%)都发现了合并症。结论:CP患者妊娠、分娩史多属正常。产前病因被发现是CP的主要原因,因此应考虑产前护理(ANC)的修订。印度尼西亚对CP的分析研究也有待改进,因为目前发现的CP还很少。
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引用次数: 1
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