孟加拉国儿童脑瘫的主要原因

Golam Mahbub, Md. Omar Faruk, Ashik Chandra Das, Tanim Ahmed Shaikat, MdTuhin Mia, Redoyan Chowdhury, Koushikur Rahman, Sarder Abdulla, Al Shiam, Tufael
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摘要

儿童最常见的身体缺陷是脑性瘫痪(CP),但其确切病因往往仍是一个谜。脑瘫是一种临床症状,表现为姿势和运动方面的长期问题。其典型特征是姿势、活动能力和肌肉张力异常,从而限制了患者的活动范围。本次调查旨在确定与脑瘫患者相关的社会人口学特征,调查最易患此病的年龄段,确定受影响最严重的性别,并查明孟加拉国脑瘫的病因和流行形式。我们从达卡的瘫痪者康复中心(CRP)和孟加拉国儿童福利理事会(BCCW)的室外和室内部门共选取了 100 名脑瘫儿童,进行描述性横断面研究。在 100 名脑瘫儿童中,大多数为男性。患儿的最大年龄范围为 1 至 8 岁。大多数脑瘫儿童的母亲(78%)身体健康。37%的父亲和 28%的母亲已获得学士学位。大多数母亲(93%)是家庭主妇。 最多儿童的兄弟姐妹均正常或无残疾。最多有 55% 的儿童分娩正常,在孩子出生时没有发生任何并发症。 最多有 42% 的脑瘫患儿因产伤而在产后癫痫发作。45%的新生儿患有窒息。这些青少年患有共济失调型脑瘫,这是最常见的一种病症。根据研究结果,孟加拉国的主要风险因素仍然是婴儿惊厥、住院分娩、产伤和缺氧。
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Major Causes of Cerebral Palsy among the Children of Bangladesh
The most prevalent physical impairment in children is cerebral palsy (CP), although the exact etiology is frequently still a mystery. CP is a diverse collection of clinical symptoms that characterize long-term problems with posture and movement. It is typified by aberrant posture, mobility, and muscular tone, which restricts the affected person's range of activities. The current investigation was conducted to determine the sociodemographic characteristics linked to individuals with cerebral palsy, to investigate the age range most susceptible to the condition, to pinpoint the gender most impacted, and to ascertain the causes and prevalent forms of cerebral palsy in Bangladesh. A total of 100 children with cerebral palsy were selected from the Center for The Rehabilitation of the Paralyzed (CRP) and the outdoor and indoor departments of the Bangladesh Council for Children Welfare (BCCW), Dhaka, for a descriptive cross-sectional study. Out of the 100 children with cerebral palsy, the majority were male. The age range of the maximum percentage of children was 1 to 8 years. The majority of mothers (78%) of children with cerebral palsy had good health. 37% of the children's fathers and 28% of mothers had completed their bachelor's degrees. The majority of mothers, or 93% of them, were housewives.  The siblings of the maximum children were all normal or had no disabilities. A maximum of 55% of children had normal deliveries, with no complications occurring during the child's birth.  A maximum of 42% of children with cerebral palsy experience postpartum seizures due to birth damage. 45% of newborns suffer from asphyxia. The youngsters had ataxic cerebral palsy, which was the most prevalent kind of the condition. According to the study's findings, the main risk factors in Bangladesh are still infant convulsions, hospital deliveries, birth injuries, and hypoxia.  
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