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Pediatrik Serebral Palsi Vakalarında Yaygın Çocukluk Problemleri

The Overlooked Childhood Problems in Pediatric Cerebral Palsy Subjects

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Abstract (2. Language): 
This is one of the first studies delineating some characteristic features of certain common childhood problems of pediatric cerebral palsy (CP) subjects that might have been overlooked in previous medical visits. We collected data on immunization and also blood, urine and stool specimens of 89 CP subjects and 80 control patients. The CP subjects had significantly higher ratios of anemia, urinary tract infections and missed shots of immunization than patients presenting with first seizure as control group (p<0.05 for each). There was no difference in ratio of intestinal parasites but was quite high in both groups (18%). It will afford a good opportunity for CP subjects if pediatric neurologists, who regularly follow up these patients, focus on some non-neurological but common childhood problems as well.
Abstract (Original Language): 
Bu çalışma bir eğitim hastanesinde ayaktan takip edilen pediatrik serebral palsi (SP) vakalarında daha önce yapılmış muayenelerinde gözden kaçırılmış olabilecek yaygın çocukluk problemlerinin sıklığını belirleyen ilk çalışmalardan biridir. Aynı pediatrik nöroloji polikliniğinde takip edilen SP hastaları ile kontrol grubu olarak alınan ilk nöbet şikayetiyle başvuran vakalar karşılaştırıldı. Vakaların aşı verileri toplandı. Ayrıca 89 SP ile 80 kontrol hastasında kan, idrar ve gaitada parazit tetkikleri incelendi. Serebral palsi grubunda kontrol grubuna göre anlamlı derecede daha yüksek anemi, idrar yolu enfeksiyonu ve eksik aşılama oranları tespit edildi (her sonuç için p<0.05). Bağırsak paraziti oranı açısından farklılık tespit edilmedi ancak bu oran her iki grupta da hafif yüksek (%18) bulundu. Serebral palsi vakalarını düzenli takip eden pediatrik nöroloji poliklinik hekimlerinin nörolojik olmayan yaygın çocukluk problemlerine de zaman ayırması, bu hastalar için iyi bir fırsat olacaktır.
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