脑CT值改变和NBNA评分在新生儿缺氧缺血性脑病诊断中的价值探讨

Significance of changes of brain CT value and neonatal behavioral neurological assessment in the diagnosis of neonatal hypoxic ischemic encephalopahy

目的探讨头部ＣＴ值及新生儿行为神经测定（ＮＢＮＡ）在新生儿缺氧缺血性脑病（ＨＩＥ）诊断中的价值。方法测定ＨＩＥ新生儿脑ＣＴ值及进行ＮＢＮＡ，分析其在不同病情和按不同方法分度时的变化。结果按临床分度，ＨＩＥ轻、中度组ＣＴ值及ＮＢＮＡ评分差异有显著性；按ＣＴ值分度，ＨＩＥ轻、中度组ＮＢＮＡ差异亦有显著性。结论测定脑ＣＴ值及进行ＮＢＮＡ评分有助于ＨＩＥ病情评估。

Objective The purpose of the present investigation was to evaluate the diagnostic value of cerebral CT and neonatal behavioral neurological assessment(NBNA) in neonatal hypoxic ischemic encephalopathy(HIE).Methods The cerebral CT values and NBNA were examined in fullterm neonates with HIE, and their significance of the changes of values with state of an illness or different classification were explored.Results According to clinical classification, the cerebral CT values and NBNA scores were significantly different between group slight grade HIE and group medium grade.NBNA scores were also significantly different between slight grade HIE and group medium grade if HIE was classificated according to the cerebral CT values.Conclusions Determination of cerebral CT value and assessment of NBNA are helpful to the estimation of the state of HIE.