新生儿缺氧缺血性脑病早期治疗与预后的临床分析

Clinic analysis of early treatment on clinic prognostic of newborn with hypoxic ischemic encephalopathy

目的探讨新生儿缺氧缺血性脑病治疗时机对临床预后的影响。方法选择我院妇产科窒息后缺氧缺血性脑病患儿早期治疗与基层医院及家中生产窒息患儿非早期治疗作对照,比较其在临床分度、神经系统症状持续时间及脑瘫发生率、病死率的差异。结果我院妇产科早期治疗患儿与外院对照患儿相比,临床分度轻、神经系统持续时间短、病死率及脑瘫率均小于对照组。结论新生儿缺氧缺血性脑病早期治疗有助于改善症状,减少神经系统后遗症。

Objective To discuss the influence of treatment time on clinic prognostic of newborn with hypoxic ischemic encephalopathy. Methods Compare the newborn of early treatment with hypoxic ischemic encephalopathy at our hospital and that of non-early treatment at home or at primary hospital with clinic graduation in degrees, the continued time of symptom on nerve system, the rate of cerebral palsy and death. Results Compared the newborn at primary hospital, the cases of early treatment with hypoxic ischemic encephalopathy at our hospital were less on clinic graduation in degrees, the continued time of symptom on nerve system, the rate of cerebral palsy and death. Conclusion Early treatment can improve symptom, reduce the sequelae on nerve system.