Interpretation of the U. K. ' National Institute for Health and Care Excellence guidelines for children with cerebral palsy in 2017
10.3760/cma.j.issn.2095-428X.2017.24.006
- VernacularTitle:2017年英国国家卫生与临床优化研究所(NICE)脑性瘫痪指南解读
- Author:
De WU
1
;
Jiulai TANG
Author Information
1. 安徽医科大学第一附属医院儿科
- Keywords:
Cerebral palsy;
Guideline;
Interpretation;
Multidisciplinary
- From:
Chinese Journal of Applied Clinical Pediatrics
2017;32(24):1862-1865
- CountryChina
- Language:Chinese
-
Abstract:
The U. K.' National Institute for Health and Care Excellence (NICE)published the guideline:Cerebral palsy in under 25s:assessment and management in 2017,which emphasizes prenatal and maternity respiratory tract or genito - urinary infection and neonatal sepsis (particularly with a birth weight below 1. 5 kg)are two independent risk factors for cerebral palsy which are worthy of clinical attention. The brain magnetic resonance imaging (MRI)may assess and classify the etiology of cerebral palsy. Of all the children with congenital cerebral palsy,45％are long to cerebral white matter damaged,13％ basal ganglia or deep grey matter damaged,10％ congenital malforma-tion,and 7％ focal infarcts. The early symptoms of cerebral palsy,early identification of dangerous signals are described. The multidisciplinary optimized management is established to deal with difficulties in eating,drinking and swallowing,saliva control,speech,language and communication,pain,discomfort,depression,sleep disturbance,registe-ring and processing sensory information,mental health,nutritional status,comorbidities,medicare and adulthood transi-tion. Its core objective is to improve the social participation and individual function development of children with cere-bral palsy,and to provide information and multidisciplinary support systems for them.
