Increased incidence of cerebral palsy, experts: to prevent premature dystocia, pay attention to surgery and rehabilitation training

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Release date: 2017-02-23

    With the liberalization of the two-child policy, fertility has gradually entered a small peak. Every expectant mother wants to have a healthy baby, and I hope that my child will not have a brain. So, what is cerebral palsy, can it be prevented and avoided, can a baby with cerebral palsy be treated?

Increased incidence of cerebral palsy, experts: to prevent premature dystocia, pay attention to surgery and rehabilitation training

With this question, the reporter interviewed Sun Chengyan, a functional neurosurgery expert in China and director of functional neurosurgery at Shanghai Punan Hospital.

In this regard, Professor Sun said that based on the incomplete statistics of the China Disabled Persons' Federation, the total number of cerebral palsy patients in China is about 7 million, and the number of new cases of cerebral palsy is 40,000 to 50,000. Why has the incidence of cerebral palsy increased in recent years? Premature birth, dystocia, asphyxia, and jaundice are the main causes of cerebral palsy in children. Clinical observations have found that dystocia is more than ten times more likely to develop cerebral palsy than normal-born babies. In addition, premature birth is also a disease factor that can not be ignored in children with cerebral palsy. About half of the cerebral palsy are premature babies, and about 3 out of every 100 premature babies are diagnosed with cerebral palsy.

Premature delivery refers to the delivery of pregnancy from 28 weeks to 37 weeks before, mostly low birth weight infants, weighing between 1000g and 2500g. The development of the various organs of the newborn in this stage is immature, and because the premature birth itself is the result of a variety of adverse factors, these adverse factors can also cause damage to the fetus.

When pregnant women are severely malnourished, suffering from acute and chronic diseases and various high-heat diseases, they will cause insufficient oxygen supply to the fetus. Excessive physical and energy burden of pregnant women, excessive amniotic fluid, multiple pregnancy, uterine fibroids, uterine malformations can affect the blood flow of the placenta, causing abnormal function of the placenta, causing premature birth and damage to the fetus.

Premature infants have immature brain development. Because of their own factors, they are prone to some diseases, such as respiratory distress syndrome, apnea, etc., which cause difficulty in breathing and hypoxia. Intraventricular hemorrhage affects brain development. In addition, premature infants are often inadequately fed due to feeding difficulties, resulting in a lack of energy for brain development, and the lower the body weight, the higher the incidence of cerebral palsy.

Because of the misunderstanding of cerebral palsy, some patients believe that cerebral palsy can not be fundamentally cured, only through rehabilitation training to improve slightly, so blindly pursue non-invasive treatment such as functional training or orthosis, no surgery, delaying the disease The timing of child function improvement.

Some parents think that surgery is orthopedic, which is too panic. Some parents, after the surgery is finished, go home, follow-up rehabilitation training did not keep up, and may rebound and rebound after surgery. There are also parents who are fascinated by the doctors in the rivers and lakes. They think that injections and medicines can also be cured. In fact, there are no really effective drugs. The above phenomenon is not only a misunderstanding of the family members of some patients, but also a certain limitation on the clinical division. The patient "sees which department to count", the treatment is inevitably "fragmented."

Sports development and abnormal posture seriously affect the quality of life of patients with cerebral palsy, how to solve the motor dysfunction of patients with cerebral palsy, let them return to society more confidently, improve the quality of life of patients and their families, and reduce the burden on society? Sun Chengyan believes that there should be a holistic treatment plan for the treatment of cerebral palsy, including surgery and rehabilitation.

For more than 20 years, Professor Sun has repeatedly emphasized the importance of standardized surgery and rehabilitation procedures. When is the first-stage surgery, when is the functional training, and when is the second-stage surgery? It is necessary to do a good job in the cerebral palsy surgery-institutional rehabilitation-home rehabilitation guidance Medical services fundamentally solve the problem that cerebral palsy treatment is easy to rebound and relapse, and maximize the effect.

It is important to emphasize that all causes of cerebral palsy are transient to the brain damage of the patient, but the symptoms are persistent, such as limb paralysis, hand and foot deformity, walking posture and the like. Brain damage is incurable. At present, all methods of treating cerebral palsy are to improve the motor function of the patient, so the cerebral palsy can not be completely cured. In general, the younger the age, the stronger the plasticity. Therefore, the earlier the diagnosis and treatment is more ideal, the ideal effect seen in clinical practice can be close to normal people.

Source: 澎湃News

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