中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
29期
184-185
,共2页
经颅二维%彩色多普勒%新生儿%缺血缺氧性脑病
經顱二維%綵色多普勒%新生兒%缺血缺氧性腦病
경로이유%채색다보륵%신생인%결혈결양성뇌병
Cranial two dimensional%Color Doppler%Newborn%Hypoxic ischemic encephalopathy
目的:分析与探讨经颅二维及彩色多普勒在新生儿缺血缺氧性脑病(HIE)中的临床应用价值。方法整群选取该院于2013年3月—2014年2月间收治的缺血缺氧性脑病患儿93例为研究组,同期选取身体健康的正常足月儿93名为对照组,采用二维超声和彩色多普勒超声检查技术检测两组患儿在出生后48 h内的脑实质回声改变及血流动力学改变。结果在所有的HIE患儿中,中度各项指标分别为Vs(48.27±6.65) cm/s、Vm(28.20±5.37) cm/s、Vd(17.33±3.91)cm/s、RI(0.72±0.07)cm/s、PI(1.41±0.30)cm/s,重度分别为(43.45±5.70)cm/s、(27.01±3.57)cm/s、(15.43±2.83)cm/s、(0.85±0.12)cm/s、(1.43±0.18)cm/s,与研究组各项指标相比,差异具有统计学意义(P<0.05)。结论在临床中应用二维超声结合彩色多普勒检测新生儿HIE能及时反映二维形态及脑血流动力学改变,对HIE的准确检测和诊断有很重要的临床意义。
目的:分析與探討經顱二維及綵色多普勒在新生兒缺血缺氧性腦病(HIE)中的臨床應用價值。方法整群選取該院于2013年3月—2014年2月間收治的缺血缺氧性腦病患兒93例為研究組,同期選取身體健康的正常足月兒93名為對照組,採用二維超聲和綵色多普勒超聲檢查技術檢測兩組患兒在齣生後48 h內的腦實質迴聲改變及血流動力學改變。結果在所有的HIE患兒中,中度各項指標分彆為Vs(48.27±6.65) cm/s、Vm(28.20±5.37) cm/s、Vd(17.33±3.91)cm/s、RI(0.72±0.07)cm/s、PI(1.41±0.30)cm/s,重度分彆為(43.45±5.70)cm/s、(27.01±3.57)cm/s、(15.43±2.83)cm/s、(0.85±0.12)cm/s、(1.43±0.18)cm/s,與研究組各項指標相比,差異具有統計學意義(P<0.05)。結論在臨床中應用二維超聲結閤綵色多普勒檢測新生兒HIE能及時反映二維形態及腦血流動力學改變,對HIE的準確檢測和診斷有很重要的臨床意義。
목적:분석여탐토경로이유급채색다보륵재신생인결혈결양성뇌병(HIE)중적림상응용개치。방법정군선취해원우2013년3월—2014년2월간수치적결혈결양성뇌병환인93례위연구조,동기선취신체건강적정상족월인93명위대조조,채용이유초성화채색다보륵초성검사기술검측량조환인재출생후48 h내적뇌실질회성개변급혈류동역학개변。결과재소유적HIE환인중,중도각항지표분별위Vs(48.27±6.65) cm/s、Vm(28.20±5.37) cm/s、Vd(17.33±3.91)cm/s、RI(0.72±0.07)cm/s、PI(1.41±0.30)cm/s,중도분별위(43.45±5.70)cm/s、(27.01±3.57)cm/s、(15.43±2.83)cm/s、(0.85±0.12)cm/s、(1.43±0.18)cm/s,여연구조각항지표상비,차이구유통계학의의(P<0.05)。결론재림상중응용이유초성결합채색다보륵검측신생인HIE능급시반영이유형태급뇌혈류동역학개변,대HIE적준학검측화진단유흔중요적림상의의。
Objective To analyze the clinical application value of two dimensional and Doppler in neonatal hypoxic ischemic encephalopathy (HIE). Methods The hospital in hospital between March 2013 to February 2014 of hypoxic ischemic encephalopathy (HIE) 93 cases as study group. In the same time, select healthy normal full-term children 93 as control group, using two dimensional ultrasound and color Doppler ultrasound examination technique to detect the patients in two groups were within 48 hours after birth. Results In all of HIE, moderate indicators respectively vs (48.27±6.65) cm/s、Vm(28.20±5.37) cm/s、Vd(17.33±3.91)cm/s、RI(0.72±0.07)cm/s、PI(1.41±0.30)cm/s, severe (43.45±5.70)cm/s、(27.01±3.57)cm/s、(15.43 ±2.83)cm/s、(0.85 ±0.12)cm/s、(1.43 ±0.18)cm/s, compared with the indicators in the study group, the significant difference and was statistically significant (P<0.05). Conclusion In clinical the application of two-dimensional ultrasound combined with color Doppler flow imaging in diagnosis of neonatal HIE can reflect the two-dimensional shape and the change of cerebral hemodynamics and the accurate detection and diagnosis of HIE has very important clinical significance.