新生儿期后持续治疗对新生儿缺氧缺血性脑病预后的影响

    Effect of continued treatment on prognosis of newborns with hypoxic ischemic encephalopathy

    • 摘要: 目的: 探讨新生儿期后持续治疗(包括药物和非药物)对新生儿缺氧缺血性脑病(hypoxia iscmenthemic encephalopathy,HIE)预后的影响。方法: 将108例中、重度HIE患儿根据家长意见及患儿家庭的实际情况分为观察组69例和对照组39例(C组);观察组又分为A组37例和B组32例。A、B组患儿进行相同早期干预,A组患儿在新生儿期后均给予3个疗程的脑蛋白水解物注射液治疗;对照组患儿常规育儿,1、6、12个月时随访。比较12个月时三组患儿的智能发育指数(MDI)和心理运动发育指数(PDI)。结果: 12个月时A、B、C组患儿的MDI分别为92.027±8.48、87.844±7.89和83.821±8.693;PDI分别为93.216±9.096、88.500±8.474和84.231±9.068,三组比较差异均有统计学意义(P<0.05~P<0.01)。结论: 新生儿期后持续治疗可改善HIE的预后,且药物治疗结合早期干预综合治疗比单纯早期干预效果好。

       

      Abstract: Objective: To investigate the effect of the continued treatment(including pharmaceuticals and non-pharmaceuticals) on prognosis of newborn with hypoxic ischemic encephalopathy(HIE).Methods: One hundred and eight newborns with the middle and serious HIE were divided into the observation group(69 cases) and the control group(39 cases)(Group C).The observation group was further divided into Group A(37 cases) and Group B(32 cases).Group A and B underwent same early intervention.Group A was also administered with three courses of the pharmaceuticals cerebroprotein hydrolysate injection after the newborn stage.The newborns in the control group were brought up routinely.They were followed up at one month,six months and twelve months interval.MDI and PDI of the 3 groups were compared at twelve months interval.Results: MDI was 92.027±8.48,87.844±7.89 and 83.821±8.693 for Group A,B and C respectively.PDI was 93.216±9.096,88.500±8.474 and 84.231±9.068 for Group A,B and C respectively with significant differences(P<0.05~P<0.01)Conclusions: The continued treatment can improve HIE prognosis.The pharmaceuticals treatment combined with early intervention is better than the simple early intervention treat.

       

    /

    返回文章
    返回