TheDevelopmentandChallengesofChinesePediatricRehabilitation中国儿童康复的发展与挑战20世纪80年代：白内障复明手术、小儿麻痹后遗症矫治、聋儿语训1980s:cataractandpoliosequelasurgery,trainingfordeafchildren二、康复服务现状PresentsituationofrehabilitationservicesPreventionandTreatmenofCP(forinstance,in12provinces,2013)42.97%综合医院generalhospitals27.03%妇婴医院maternityandchildcarehospitals20.31%儿童医院childhospitals4.69%康复医院/中心rehabhospitals/centers2.97%残联系统康复中心rehabcentersindisabledpersons'federationsystem1.88%社区诊所communityclinics0.16%民政系统康复中心rehabcentersinciviladministrationsystem12省/市12provinces/cities北京Beijing河南Henan山东Shandong山西Shanxi陕西Shannxi安徽Anhui湖南Hunan广东Guangdong广西Guangxi重庆Chongqin青海Qinghai黑龙江Heilongjiang323,805年龄1-6岁男M174，338女FM149，467●发病率为Incidence2.48‰(0.248%)●总患病率为Prevalence2.45‰(0.245%)●青海患病率最高为HighestprevalencewasinQinghai5.40‰(0.540%)山东患病率最低为thelowestwasinShandong1.04‰(0.104%)●随机进行两两比较,任意两省患病率比较具有显著性差异Randompairwisecomparison,prevalenceofanyoneprovincecomparedwithanotheronehassignificantlydifferent（p<0.0001）●<7岁儿童约1亿，脑瘫<7Y，1Billion，CP250万(2,500,000)●1<14岁儿童约2亿，脑瘫1-14Y，2Billion，CP500万(5,000,000)●按每年新生儿数量，新增脑瘫newborn,newCP/Y1600万，CP4万/年(16,000,000,CP40,000/year)我国共有残疾儿童大约817万人（0-14岁），也有报道900余万8,170,000disabledchildren(0-14yearsold),ormorethan9,000,000视力残疾18万(visualdisability180,000)听力残疾116万(hearingdisability1,160,000)肢体残疾539万(Limbdisability5,390,000)智力残疾62万(Mentalretardation620,000)精神残疾1.4万（Psychiatricdisability14,000）多重残疾80万(Multipledisability800,000)占全国残疾人总数的15.8%，占全国儿童总数的2.66%5.8%ofthetotalnumberofdisabledpersons2.66%ofthetotalnumberofchildren0-6岁残疾儿童约139.5万,每年新增近20万Disabledchildrenabout1,395,000(0-6)，200,000/year4.儿童专科康复需求RequirementsofRehabwithSpecializedsubject↑●先天性心脏病康复Congenitalheartdisease●重症新生儿康复Severeneonatal●先天畸形康复Congenitalmalformations●儿童骨科康复Pediatricorthopaedic●遗传性代谢性疾病康复等Congenitalimmunodeficiencydisease，Hereditarydisease康复机构收治病种的排序Thesortingoftherehabdiseasesintheinstitutions四、康复评定与技术应用情况(111units)Applicationofassessmentandth