摘要
为了解新生儿缺氧缺血性脑病(HIE)对患儿远期体格发育和智力的影响.方法 本文对60例经脑B超及临床表现确诊为HIE的患儿进行了远期随访.休格发育用Kaup指数与儿童保健电脑对小儿身高、体重、营养、体型等进行评估;智力发育测量用Gessel智能发育量表.结果 HIE儿与正常对照组在两者发育之间无显著性差异(P>0.05),无1例智力低下者.结论 本组小儿智残率明显降低的原因除建立自主呼吸≤20分钟外,主要是重视复苏后72小时内保护心、脑、肾的处理以防止早期缺氧缺血性脑损害的发生和发展.
To research the effect on physical and metal development in HIE during long term. Methods Physical and interlectual conditions of 60 HIE patients, diagnosed by clinical pattern and B-ultrasonic survey, were followed up in long term. On physical developement, Kaup index and computered child health analysis system wrer employed to measure height, weight, type of build, and nutritional condition. On intelletual developement, DQ were measured with Gessel test. Results There were no significant differences of those neasurements between HIE patients and normals ( P >0. 01). Conclusions In our opinion, the marked drop in amentia rate in our patients were due to the arly management of heart, brain and kidney to prevent genesis and development of brain damage from HIE.
