《国际专家建议：需立即转诊进行脑性瘫痪诊断评估的临床特征》解读.pdfVIP

《国际专家建议：需立即转诊进行脑性瘫痪 诊断评估的临床特征》解读 胡斌　牟瑞　唐婉秋　王成举　张雨平 （陆军军医大学第二附属医院儿科，重庆　400037） ［摘要］　近年来在国家政策的引导和支持下，社区医疗体系得到空前发展，其中，初级儿童保健在社区 医院常规开展，大大缓解了儿童专科医院及二三级综合医院儿科的压力。但由于社区医疗机构儿童初级保健人 员未接受专业培训，对脑性瘫痪（简称脑瘫）儿童早期出现的症状不能识别，常导致脑瘫患儿不能得到及早诊 断和有效干预，从而影响预后。2020 年在 Development Medicine and Child Neurology 发表的一篇专门针对社区 医疗机构的早期脑瘫识别和转诊的国际专家建议，明确提出了应立即转诊的 6 个临床特征和应加强监测的 2 个“警 告信号”，以及在转介给医学专家进行脑瘫诊断的同时，应考虑转介给其他专业人员的 5 个转诊建议。该建议 有助于社区医疗机构儿童初级保健人员及早发现脑瘫高危儿，及时转诊并减少干预的延迟。该文结合国内的实 际情况对该建议进行解读，以期提高我国社区医疗机构儿童初级保健人员识别脑瘫高危信号及合理转诊的能力， 达到早发现、早诊断、早干预，改善脑瘫儿童预后。 ［中国当代儿科杂志，2021，23（4）：328-331］ ［关键词］　脑瘫；转诊；社区医院；保健；解读；儿童 Interpretation of the international expert recommendations of clinical features to prompt referral for diagnostic assessment of cerebral palsy HU Bin, MOU Rui, TANG Wan-Qiu, WANG Cheng-Ju, ZHANG Yu-Ping. Department of Pediatrics, Second Affiliated Hospital of Army Medical University, Chongqing 400037, China (Zhang Y-P, Email: yupingzhang@tmmu.edu.cn) Abstract: Under the guidanc and support of national policies in recent years, the community medical system has e been developed rapidly, among which primary child healthcare is carried out routinely in community hospitals, greatly alleviating the pressure of specialized pediatric hospitals and departments of pediatrics in secondary and tertiary general hospitals. However due to the lack of professional training for primary child healthcare personnel in community medical , institutions, early symptoms of chil with cerebral palsy cannot be identified and so children with cerebral palsy are dren often unable to receive early diagnosis and intervention, which may affect their prognosis. An article about international expert consensus and recommendations on early identification and referral of cerebral palsy in community medical institutions was published in