Cerebralna paraliza kod prevremeno rođene dece

  • Čila Demeši Drljan Institute for Children and Youth Health Care of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Aleksandra Mikov Institute for Children and Youth Health Care of Vojvodina, Novi Sad, Serbia
  • Karmela FilipoviĆ Special Hospital for Rheumathic Diseases,Novi Sad, Serbia
  • SneŽana TomaŠeviĆ TodoroviĆ Clinical Center of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Aleksandar KneŽeviĆ Clinical Center of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Rastislava Krasnik Institute for Children and Youth Health Care of Vojvodina, Novi Sad, Serbia
DOI: https://doi.org/10.2298/5756
Ključne reči: Cerebral palsy||, ||paraliza, cerebralna, risk factors||, ||faktori rizika, infant, premature||, ||nedonošče.,

Sažetak


Uvod/Cilj. Cerebralna paraliza (CP) jedan je od najčešćih uzroka nastanka neuroloških oštećenja u dečjem uzrastu. Prevremen porođaj je značajan faktor rizika od pojave CP. Kliničke posledice mogu biti oštećenje grube motoričke funkcije, intelektualnih sposobnosti, poremećaj vida i epilepsija. Cilj rada bio je da se istraži odnos između gestacijske starosti, oblika CP, funkcionalnih sposobnosti i pridruženih oboljenja. Metode. Uzorak se sastojao od ukupno 206 dece. Iz medicinske dokumentacije dobijeni su podaci o gestacijskoj starosti, kliničkim karakteristikama CP i pridruženim oboljenjima. Klinički tip CP određivan je prema preporuci Surveillance of Cerebral Palsy in Europe (SCPE) i topografski. Grube motoričke funkcije procenjivane su na osnovu istoimenog klasifikacionog sistema Gross Motor Function Classification System (GMFCS). Rezultati. Više od polovine dece sa CP prevremeno su rođena (54,4%). Registrovana je statistički značajna razlika u distribuciji kliničkih tipova CP u odnosu na gestacijsku starost (p < 0,001); kod dece sa spastičnim bilateralnim tipom CP više su zastupljena prevemeno rođena deca. Utvrđena je statistički značajna razlika u funkcionalnoj klasifikaciji na osnovu GMFCS u odnosu na gestacijsku starost (p = 0,049); deca koja su manje gestacijske starosti imaju viši stepen prema GMFCS-u. Najveći procenat dece (70,0%) koja imaju dva ili više pridruženih oboljenja utvrđen je kod izrazito prevremeno rođene dece i ovaj broj opada što je termin bliži normalnom terminu porođaja. Epilepsija je bila češća kod dece sa većom gestacijskom starosti i ova razlika u distribuciji bila je statistički značajna (p = 0,032). Zaključak. Primena antenatalne i postnatalne zaštite preterminski rođene dece trebalo bi da bude značajna komponenta strategije prevencije CP.

 

 

 

Biografije autora

Čila Demeši Drljan, Institute for Children and Youth Health Care of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
Docent
Aleksandra Mikov, Institute for Children and Youth Health Care of Vojvodina, Novi Sad, Serbia
Profesor
Karmela FilipoviĆ, Special Hospital for Rheumathic Diseases,Novi Sad, Serbia
Asistent
SneŽana TomaŠeviĆ TodoroviĆ, Clinical Center of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
Docent
Aleksandar KneŽeviĆ, Clinical Center of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
Asistent
Rastislava Krasnik, Institute for Children and Youth Health Care of Vojvodina, Novi Sad, Serbia
Asistent

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Objavljeno
2017/02/01
Broj časopisa
Vol. 73 Br. 4 (2016)
Rubrika
Originalni članak