中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
19期
3-4,5
,共3页
新生儿缺氧缺血性脑病%胃肠功能障碍%多巴胺
新生兒缺氧缺血性腦病%胃腸功能障礙%多巴胺
신생인결양결혈성뇌병%위장공능장애%다파알
Neonatal hypoxic-ischemic encephalopathy%Gastrointestinal dysfunction%Dopamine
目的：分析研究新生儿缺氧缺血性脑病伴胃肠功能障碍的临床特点，并观察多巴胺对新生儿缺氧缺血性脑病伴胃肠功能障碍的治疗效果。方法：选择2011年7月-2014年1月笔者所在医院收治的新生儿缺氧缺血性脑病伴胃肠功能障碍患儿共48例为临床研究对象，随机分为两组。试验组患儿24例给予小剂量多巴胺联合常规治疗，对照组仅给予常规治疗，观察比较两组患儿治疗效果、治疗疗程等。结果：试验组患儿给予小剂量多巴胺治疗，其总有效率达95.83%，明显高于对照组患儿，差异有统计学意义(P<0.05)。试验组患儿治疗后腹部体征消失时间为(1.94±0.64)d、临床症状消失时间为(3.18±1.36)d、疗程为(3.98±0.78)d，明显短于对照组，差异有统计学意义(P<0.05)。结论：新生儿缺氧缺血性脑病伴胃肠功能障碍给予小剂量多巴胺治疗的效果较好，可以快速缓解临床症状及体征，缩短治疗疗程，降低患者的胃肠功能损伤情况。
目的：分析研究新生兒缺氧缺血性腦病伴胃腸功能障礙的臨床特點，併觀察多巴胺對新生兒缺氧缺血性腦病伴胃腸功能障礙的治療效果。方法：選擇2011年7月-2014年1月筆者所在醫院收治的新生兒缺氧缺血性腦病伴胃腸功能障礙患兒共48例為臨床研究對象，隨機分為兩組。試驗組患兒24例給予小劑量多巴胺聯閤常規治療，對照組僅給予常規治療，觀察比較兩組患兒治療效果、治療療程等。結果：試驗組患兒給予小劑量多巴胺治療，其總有效率達95.83%，明顯高于對照組患兒，差異有統計學意義(P<0.05)。試驗組患兒治療後腹部體徵消失時間為(1.94±0.64)d、臨床癥狀消失時間為(3.18±1.36)d、療程為(3.98±0.78)d，明顯短于對照組，差異有統計學意義(P<0.05)。結論：新生兒缺氧缺血性腦病伴胃腸功能障礙給予小劑量多巴胺治療的效果較好，可以快速緩解臨床癥狀及體徵，縮短治療療程，降低患者的胃腸功能損傷情況。
목적：분석연구신생인결양결혈성뇌병반위장공능장애적림상특점，병관찰다파알대신생인결양결혈성뇌병반위장공능장애적치료효과。방법：선택2011년7월-2014년1월필자소재의원수치적신생인결양결혈성뇌병반위장공능장애환인공48례위림상연구대상，수궤분위량조。시험조환인24례급여소제량다파알연합상규치료，대조조부급여상규치료，관찰비교량조환인치료효과、치료료정등。결과：시험조환인급여소제량다파알치료，기총유효솔체95.83%，명현고우대조조환인，차이유통계학의의(P<0.05)。시험조환인치료후복부체정소실시간위(1.94±0.64)d、림상증상소실시간위(3.18±1.36)d、료정위(3.98±0.78)d，명현단우대조조，차이유통계학의의(P<0.05)。결론：신생인결양결혈성뇌병반위장공능장애급여소제량다파알치료적효과교호，가이쾌속완해림상증상급체정，축단치료료정，강저환자적위장공능손상정황。
Objective:To analyze the clinical features of neonatal hypoxic-ischemic encephalopathy with gastrointestinal dysfunction,and observe the effect of neonatal hypoxic-ischemic encephalopathy with gastrointestinal dysfunction with Dopamine.Method:From July 2011 to January 2014 in our hospital 48 cases neonatal hypoxic-ischemic encephalopathy with gastrointestinal dysfunction were randomly divided into two groups.Children in the experimental group(n=24) were given low dose Dopamine and conventional therapy,the control group(n=24) was treated with conventional therapy,the effect and treatment of two groups were observed.Result:The experimental group was given small dose Dopamine treatment,the total effective rate was 95.83%,was significantly higher than that in the control group,the difference has statistical significance(P<0.05).In the experimental group after the treatment of abdominal signs disappeared time was (1.94±0.64)d,the disappearing time of clinical symptoms was (3.18±1.36)d,the course of treatment was (3.98±0.78)d,were significantly shorter than the control group,the differences were statistical significance(P<0.05).Conclusion:Neonatal hypoxic-ischemic encephalopathy with gastrointestinal Dysfunction with small dose Dopamine has good effect,can rapidly relieve clinical symptoms and signs,shorten the course of treatment,reduce the patient's gastrointestinal function damage.
