中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
10期
40-42
,共3页
早产低体重儿%脑室周围白质损伤%头颅B超%灰度
早產低體重兒%腦室週圍白質損傷%頭顱B超%灰度
조산저체중인%뇌실주위백질손상%두로B초%회도
Low birth weight premature infants%Cerebral white matter injury%Head B ultrasound%Gray
目的：探讨头颅B超灰度定量测定对早期发现早产低体重儿脑室周围白质损伤的临床指导意义。方法对2013年1月~2014年8月本院NICU收治100例早产低体重儿随机分为对照组及治疗组，运用头颅B超联合医学图像分析软件于生后72 h内对脑室周围白质进行灰度值测定，治疗组对早期白质灰度值>130者采用早期营养脑神经及康复治疗，并随访跟踪生后3个月、6个月神经生长发育。结果治疗组早产低体重儿NBNA评分明显高于对照组，随访跟踪3个月、6个月神经生长发育情况明显优于对照组，差异有统计学意义（P<0.05）。结论头颅B超灰度定量分析对早产低体重儿脑室周围白质损伤早期诊断有重要指导意义，并有助于判断预后及指导临床早期治疗。
目的：探討頭顱B超灰度定量測定對早期髮現早產低體重兒腦室週圍白質損傷的臨床指導意義。方法對2013年1月~2014年8月本院NICU收治100例早產低體重兒隨機分為對照組及治療組，運用頭顱B超聯閤醫學圖像分析軟件于生後72 h內對腦室週圍白質進行灰度值測定，治療組對早期白質灰度值>130者採用早期營養腦神經及康複治療，併隨訪跟蹤生後3箇月、6箇月神經生長髮育。結果治療組早產低體重兒NBNA評分明顯高于對照組，隨訪跟蹤3箇月、6箇月神經生長髮育情況明顯優于對照組，差異有統計學意義（P<0.05）。結論頭顱B超灰度定量分析對早產低體重兒腦室週圍白質損傷早期診斷有重要指導意義，併有助于判斷預後及指導臨床早期治療。
목적：탐토두로B초회도정량측정대조기발현조산저체중인뇌실주위백질손상적림상지도의의。방법대2013년1월~2014년8월본원NICU수치100례조산저체중인수궤분위대조조급치료조，운용두로B초연합의학도상분석연건우생후72 h내대뇌실주위백질진행회도치측정，치료조대조기백질회도치>130자채용조기영양뇌신경급강복치료，병수방근종생후3개월、6개월신경생장발육。결과치료조조산저체중인NBNA평분명현고우대조조，수방근종3개월、6개월신경생장발육정황명현우우대조조，차이유통계학의의（P<0.05）。결론두로B초회도정량분석대조산저체중인뇌실주위백질손상조기진단유중요지도의의，병유조우판단예후급지도림상조기치료。
Objective To investigate the clinical significance of the gray head B ultrasound quantitative determination on early detection for preterm low birth weight infants with cerebral white matter damage. Methods From 2013 January to August 2014 in the NICU department of our hospital, 100 cases of preterm and low birth weight infants were ran-domly divided into the treatment group and the control group. After birth 72 hours, the value of cerebral white matter was measured by head B ultrasound combined with medical image analysis software. The cases, whose early values of cerebral white matter were above 130, were treated with early brain nerve nutrition and rehabilitation. The develop-ment of nerve growth was followed up in 3 months and 6 months after birth, respectively. Results The NBNA score of premature and low birth weight infants was significantly higher than that of the control group. By the follow-up investi-gation in 3 months and 6 months after birth, the nerve growth of the treatment group was significantly better than that of the control group. Conclusion The head B ultrasound gray-scale quantitative analysis has important guiding signifi-cance for early diagnosis of premature and low birth weight infants with cerebral white matter injury,and it can help to judge the prognosis and guide early clinical treatment.
