世界最新医学信息文摘(电子版)
世界最新醫學信息文摘(電子版)
세계최신의학신식문적(전자판)
World Latest Medicine Information
2013年
5期
12-12,14
,共2页
纳洛酮%治疗%新生儿缺氧缺血性脑病(HIE)
納洛酮%治療%新生兒缺氧缺血性腦病(HIE)
납락동%치료%신생인결양결혈성뇌병(HIE)
naloxone%Treatment%Neonatal hypoxic ischemic encephalopathy (HIE)
目的探讨纳洛酮治疗新生儿缺氧缺血性脑病(HIE)的疗效。方法将临床确诊的110例HIE患儿随机分为纳洛酮治疗组55例及对照组55例,两组新生儿的病情分度及日龄经统计学处理差异无显著性(P>0.05)。对照组给予吸氧、止惊、降颅压及补液支持治疗,治疗组在前述治疗基础上加用纳洛酮治疗,纳洛酮注射液0.05~0.1mg/kg,加入10%葡萄糖注射液30ml静脉滴注,每天1次,维持4~6h,疗程5~7d。结果治疗组用药5d后,显效45例(81.81%),有效8例(16.13%),总有效率96.36%;对照组显效21例(38.18%),有效20例(36.00%),总有效率74.54%,两组在显效率及总有效率之间的差异均有显著性意义(P <0.01)。结论纳洛酮治疗HIE方便、有效、安全,并能明显提高疗效。
目的探討納洛酮治療新生兒缺氧缺血性腦病(HIE)的療效。方法將臨床確診的110例HIE患兒隨機分為納洛酮治療組55例及對照組55例,兩組新生兒的病情分度及日齡經統計學處理差異無顯著性(P>0.05)。對照組給予吸氧、止驚、降顱壓及補液支持治療,治療組在前述治療基礎上加用納洛酮治療,納洛酮註射液0.05~0.1mg/kg,加入10%葡萄糖註射液30ml靜脈滴註,每天1次,維持4~6h,療程5~7d。結果治療組用藥5d後,顯效45例(81.81%),有效8例(16.13%),總有效率96.36%;對照組顯效21例(38.18%),有效20例(36.00%),總有效率74.54%,兩組在顯效率及總有效率之間的差異均有顯著性意義(P <0.01)。結論納洛酮治療HIE方便、有效、安全,併能明顯提高療效。
목적탐토납락동치료신생인결양결혈성뇌병(HIE)적료효。방법장림상학진적110례HIE환인수궤분위납락동치료조55례급대조조55례,량조신생인적병정분도급일령경통계학처리차이무현저성(P>0.05)。대조조급여흡양、지량、강로압급보액지지치료,치료조재전술치료기출상가용납락동치료,납락동주사액0.05~0.1mg/kg,가입10%포도당주사액30ml정맥적주,매천1차,유지4~6h,료정5~7d。결과치료조용약5d후,현효45례(81.81%),유효8례(16.13%),총유효솔96.36%;대조조현효21례(38.18%),유효20례(36.00%),총유효솔74.54%,량조재현효솔급총유효솔지간적차이균유현저성의의(P <0.01)。결론납락동치료HIE방편、유효、안전,병능명현제고료효。
Objective Investigate naloxone treatment the curative effect of neonatal hypoxic ischemic encephalopathy (HIE). Methods Clinical diagnosis of 110 cases of children with HIE were randomly divided into naloxone treatment group 55 cases and control group 55 cases, two groups of the newborn's disease index and there was no significant difference after statistics processing day age (P>0.05). Control group given oxygen, check surprised, intracraninal pressure and rehydration support treatment, treatment group on the basis of the previous treatment with naloxone treatment, naloxone injection 0.05~0.1 mg/kg, 30 ml in 10%glucose injection intravenous drip, 1 times a day, keep 4~6 h, treatment 5~7 d. Result Drug treatment group after 5 d, 45 cases were markedly improved (81.81%), 8 cases (16.13%) effectively, the total effective rate was 96.36%;Control group 21 cases were markedly improved (38.18%), 20 cases (36.00%), show the efficiency and total effective rate 74.54%, two groups in the total effective rate between the differences were significant (P<0.01). Conclusion Naloxone treatment of HIE is convenient, effective, safe, and can obviously improve curative effect.