摘要
以往认为脑性瘫痪(脑瘫)只能在1岁之后作出诊断,但2017年在JAMA Pediatrics上发表的一篇脑瘫早期诊治进展综述梳理了早期预测脑瘫的标准化工具,明确提出可以将诊断时间提前至纠正胎龄6月龄以前。该综述强调早期诊断和早期干预可以促进患儿运动和智能的持续发育,预防并发症,并使监护人能够获得各方面的支持。文章将结合国内的实际情况对该综述进行解读,以期提高国内脑瘫早期诊断和治疗的水平,并希望促进相关政策的修订。
Historically,the diagnosis of cerebral palsy has been made after 1 year old. However,a systematical review published on JAMA Pediatrics in 2017 indicates that the diagnosis of cerebral palsy can be made before 6 months＇ corrected age,based on the best available evidence of standardized predictive tools for detecting risk of cerebral palsy early.This review also emphasized that early diagnosis and intervention can promote the continuing development of children＇s motor and intelligence,prevent complications and ensure that the caregivers can obtain full support. On the basis of Chinese national condition,we wrote this interpretation aiming to improve our capability of diagnosis and treatment of cerebral palsy,and to promote refinements of relevant policy.
作者
无
张婷
李海峰
肖农
The Subspecialty Group of Rehabilitation;the Society of Pediatrics Chinese Medical Association
出处
《中国实用儿科杂志》
CSCD
北大核心
2018年第10期743-749,共7页
Chinese Journal of Practical Pediatrics
关键词
脑性瘫痪(脑瘫)
早期
诊断
治疗
解读
cerebral palsy
early
diagnosis
treatment
interpretation
