神经行为测定法在缺血缺氧性脑病中的应用

Application of NANB in HIE

目的应用新生儿20项神经行为测定方法对新生儿缺血缺氧性脑病患儿进行早期预测。方法对150例患儿进行NBNA评分测定,比较与头颅CT检查的吻合率。结果其中有117例患儿首次NBNA评分分值小于35分,与头颅CT结果比较,其与CT阳性符合率达到100%。结论使用NBNA量表测查和临床表现相结合,对早期判断HIE患儿预后有较高实用价值,适宜在不具备头颅CT的情况下推广。

Objective To predict the prognosis of patients with hypoxic ischemic encephalopathy (HIE) by using Neonatal Behavioral Neurological Assessment ( NBNA) method early in clinic. Methods We examined NBNA scores of 150 neonates with HIE hospitalized in our Neonatological Department, and compared their consistency with CT report. Results The primary NBNA scores of 117 of 150 neonates were less than 35,and the coincidence rate with CT positive result reached 100%. Conclusion The combination of NBNA Scale screening with clinical manifestations has a higher value for early judgment of prognosis of those patients with HIE and is worthy to popularize under condition of absence of cranial CT screening.