Related factor analysis of cerebral palsy in twin or multiple pregnancies and the effect of early intervention on prognosis
Abstract：Objective To explore the related factors of cerebral palsy in twin or multiple pregnancies ,and the effect of early intervention on prognosis .Methods One hundred and fifty nine cases of twin or multiple pregnancy from 86 families in the perinatal period were investigated by retrospective investigation and analysis method , and as-sessed them by Gesell scale at the same time, the results were comprehensively analyzed .Results There were 106 cases of cerebral palsy in 159 cases twin or multiple pregnancies , the cerebral palsy rate was 66.7%(106/159). There were 94 cases of cerebral palsy among 143 babies of twin or multiple pregnancies , the cerebral palsy rate was 65.7%(94/143).After the rehabilitation treatment, the cerebral palsy rate was 14.5%(23/159), There were many high risk factors of cerebral palsy , which in turn was premature birth, low birth weight, hyperbilirubinemia, hypoxic ischemic encephalopathy, asphyxia, neonatal pneumonia, hypoglycemia, gestational diabetes, in-vitro fertilization and cesarean section.Conclusion Twin or multiple pregnancies are prong to premature birth; there were positive correlation between infantile cerebral palsy and their high risk factors .But early intervention could significantly re-duce the incidence of cerebral palsy , and the smaller age of rehabilitation therapy , the better results, and the optimal treatment time window was before 6 months age.
Keywords：Cerebral palsyTwin/multiple pregnanciesEtiologyGesellPrognosis
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 857-859,860 )