新生儿缺氧缺血性脑病的临床分析与治疗措施
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摘要
目的:探讨新生儿缺氧缺血性脑病(HIE)的临床特点与治疗措施。方法:分析笔者所在医院120例HIE患儿的临床资料,观察其临床表现,并将其随机分为治疗组和对照组各60例,对照组给予常规治疗,治疗组在对照组基础上加用高压氧治疗,对比两组疗效。结果:治疗组总有效率为91.67%;对照组总有效率为73.33%,治疗组总有效率显著高于对照组(P<0.05);与轻、中度比较,重度患儿的治疗总有效率显著降低(P<0.05)。结论:HIE临床表现多样,临床分度与预后密切相关,在综合治疗的基础上采用高压氧治疗能取得较好的治疗效果。
Objective :To explore the clinical characteristics and treatment measures of newborn with hypoxic-ischemic encephalopathy. Methods :Our hospital 120 HIE patients clinical data,analyze their clinical manifestations,were randomly divided into treatment group and control group with 60 cases in each group, the control group was given routine treatment,the treatment group on the basis of the control group received treatment with hyperbaric oxygen,in contrast to the two groups.Results :The total effective rate of treatment group was 91.67% ;the control group in the total efficiency of 73.33%,the total effective rate of treatment group was significantly higher than that in control group( P <0.05) ;compared with light,moderate,severe with the total effective rate of the therapy significantly decreased( P <0.05).Conclusion :HIE diverse clinical manifestations,clinical staging and prognosis is closely related,on the foundation of comprehensive treatment with hyperbaric oxygen treatment can get better therapeutic effect.
Objective :To explore the clinical characteristics and treatment measures of newborn with hypoxic-ischemic encephalopathy. Methods :Our hospital 120 HIE patients clinical data,analyze their clinical manifestations,were randomly divided into treatment group and control group with 60 cases in each group, the control group was given routine treatment,the treatment group on the basis of the control group received treatment with hyperbaric oxygen,in contrast to the two groups.Results :The total effective rate of treatment group was 91.67% ;the control group in the total efficiency of 73.33%,the total effective rate of treatment group was significantly higher than that in control group( P <0.05) ;compared with light,moderate,severe with the total effective rate of the therapy significantly decreased( P <0.05).Conclusion :HIE diverse clinical manifestations,clinical staging and prognosis is closely related,on the foundation of comprehensive treatment with hyperbaric oxygen treatment can get better therapeutic effect.
引文
[1]邵荣华.50例新生儿缺血缺氧性脑病临床分析[J].中国健康月刊,2011,30(8):138.
[2]豆筱敏,郭素群.对170例新生儿缺氧缺血性脑病的回顾性分析[J].中国医药指南,2009,10(7):117-118.
[3]杜龙,张淑霞.新生儿缺血缺氧性脑病早期干预治疗与预后分析[J].中国中医药现代远程教育,2010,8(7):107.
[4]杨维秀.新生儿缺血缺氧性脑病61例临床分析[J].中国当代医药,2011,18(21):73-76.
[5]赵慧敏.早期干预对中重度新生儿缺血缺氧性脑病预后的影响[J].临床医学,2011,31(10):86-87.
[2]豆筱敏,郭素群.对170例新生儿缺氧缺血性脑病的回顾性分析[J].中国医药指南,2009,10(7):117-118.
[3]杜龙,张淑霞.新生儿缺血缺氧性脑病早期干预治疗与预后分析[J].中国中医药现代远程教育,2010,8(7):107.
[4]杨维秀.新生儿缺血缺氧性脑病61例临床分析[J].中国当代医药,2011,18(21):73-76.
[5]赵慧敏.早期干预对中重度新生儿缺血缺氧性脑病预后的影响[J].临床医学,2011,31(10):86-87.