世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
16期
36-36,38
,共2页
新生儿%缺氧缺血性脑病%临床特点%治疗体会
新生兒%缺氧缺血性腦病%臨床特點%治療體會
신생인%결양결혈성뇌병%림상특점%치료체회
Neonate%hypoxic ischemic encephalopathy%clinical characteristics%treatment experience
目的：探究新生儿缺氧缺血性脑病患儿临床表现特征及对症治疗方案、临床效果，为以后临床医治此类患儿提供有效的数据参考。方法随机抽取本院近年来收治新生儿缺氧缺血性脑病患儿40例，对其临床资料以回顾性方法进行分析，归纳此类患者临床特点、治疗方案及体会。结果所有患儿接受及时有效的对症治疗，临床治疗总有效率为85.0%。患者接受治疗后，NBNA指数有显著改善，相对于治疗前有统计学意义（P<0.05）。结论缺氧缺血性脑病新生患儿主要临床表现正在为肌张力变化、意识障碍以及原始反射异常等，诱发该疾病的主要因素为：足月儿窒息、宫内窘迫以及围产期高危因素等，可通过临床症状结合CT检查方式确诊，有效治疗能降低并发症出现概率，提高新生儿生存率，值得临床注意及推广。
目的：探究新生兒缺氧缺血性腦病患兒臨床錶現特徵及對癥治療方案、臨床效果，為以後臨床醫治此類患兒提供有效的數據參攷。方法隨機抽取本院近年來收治新生兒缺氧缺血性腦病患兒40例，對其臨床資料以迴顧性方法進行分析，歸納此類患者臨床特點、治療方案及體會。結果所有患兒接受及時有效的對癥治療，臨床治療總有效率為85.0%。患者接受治療後，NBNA指數有顯著改善，相對于治療前有統計學意義（P<0.05）。結論缺氧缺血性腦病新生患兒主要臨床錶現正在為肌張力變化、意識障礙以及原始反射異常等，誘髮該疾病的主要因素為：足月兒窒息、宮內窘迫以及圍產期高危因素等，可通過臨床癥狀結閤CT檢查方式確診，有效治療能降低併髮癥齣現概率，提高新生兒生存率，值得臨床註意及推廣。
목적：탐구신생인결양결혈성뇌병환인림상표현특정급대증치료방안、림상효과，위이후림상의치차류환인제공유효적수거삼고。방법수궤추취본원근년래수치신생인결양결혈성뇌병환인40례，대기림상자료이회고성방법진행분석，귀납차류환자림상특점、치료방안급체회。결과소유환인접수급시유효적대증치료，림상치료총유효솔위85.0%。환자접수치료후，NBNA지수유현저개선，상대우치료전유통계학의의（P<0.05）。결론결양결혈성뇌병신생환인주요림상표현정재위기장력변화、의식장애이급원시반사이상등，유발해질병적주요인소위：족월인질식、궁내군박이급위산기고위인소등，가통과림상증상결합CT검사방식학진，유효치료능강저병발증출현개솔，제고신생인생존솔，치득림상주의급추엄。
Objective: To explore in neonates with hypoxic ischemic encephalopathy of clinical features and symptomatic treatment scheme, clinical effect for clinical cure, after the children provide effective data reference.Methods: randomly selected in our hospital in recent years treated neonatal hypoxic ischemic encephalopathy in 40 cases, and the clinical data were analyzed by retrospective method, and the experience summarized clinical characteristics, this kind of patient treatment.Results: all patients received symptomatic treatment timely and effective clinical treatment, the total effective rate was 85%.Patients after treatment, the NBNA index was signiifcantly improved compared with before treatment, there were statistically signiifcant (P<0.05).Conclusion: neonatal hypoxic ischemic encephalopathy and the main clinical manifestations are changes of muscular tension, disturbance of consciousness and primitive relfex abnormalities, main factors inducing the disease: full-term asphyxia, Miyamauchi Sako and perinatal risk factors and so on, can be combined with clinical symptoms diagnosed by CT examination, effective treatment can decrease the probability of complications, improve neonatal the survival rate, worthy of clinical attention and promotion.
