新生儿缺氧缺血性脑病的综合康复治疗进展

Progress of comprehensive rehabilitation therapy for neonatal hypoxic-ischemic encephalopathy

新生儿缺血缺氧性脑病(HIE)是由多种不良围产期因素引起的不可逆的脑部缺血缺氧损伤,导致脑血管血流减少、甚至中断。患儿可出现如认知、运动功能障碍、脑瘫等不同程度的神经系统后遗症。随着社会和经济的发展,近年来国内外对HIE的研究越来越多,其治疗方法种类繁多,目前以支持对症综合治疗为主。若能早期发现该病并采取积极有效的治疗措施,可明显降低患儿的致残率。本文结合当前国内外的最新研究和临床情况,对HIE的综合康复治疗进行阐述。

Neonatal hypoxic-ischemic encephalopathy(HIE)is an irreversible ischemic and hypoxic brain injury that caused by various adverse perinatal factors,it can cause the blood flow of the cerebrovascular to decrease or even interrupt.These newborns may develop neurological sequelae such as cognitive and motor dysfunction,cerebral palsy and so on.Along with the development of society and economy,there are more and more researches on HIE at home and abroad in recent years,there are many kinds of treatment methods,symptomatic comprehensive treatment is most important in currently.If this disease can be detected early and take active and effective treatment measures,the disability rate of children can be significantly reduced.This article describes the comprehensive rehabilitation treatment of HIE based on the latest research and clinical situation at home and abroad.