新生儿缺血缺氧性脑病566例临床分析

目的:对新生儿缺血缺氧性脑病进行临床分析,为患儿的临床治疗提供理论依据。方法:选取2013年6月-2016年6月在本院接受治疗的566例缺血缺氧性脑病患儿作为研究对象。对患儿行脑CT检测及治疗措施,同时对死亡患儿进行分析,探究其死亡影响因素及治疗效果。结果:患儿治愈550例(97%),死亡16例(3%)。经过1年随访,患儿脑瘫2例。无神经系统损伤患儿。农村患儿死亡率明显高于城市患儿;正常体重儿死亡率高于低出生体重患;死亡年龄<1天明显高于>1天患儿。且数据对比差异具有统计学意义(P<0.05)。结论:新生儿缺血缺氧性脑病具有脑瘫等后遗症,并且死亡率较高,在对患者的临床治疗中,需要采用综合治疗措施,以便保证患儿的健康成长。

Objective: the clinical analysis of neonatal hypoxic ischemic encephalopathy, to provide a theoretical basis for clinical treatment. Methods: 566 cases of HIE were selected from June 2013-2016 year in June treated in our hospital as the research object. For children with brain CT detection and treatment, at the same time of death were analysed. To explore the influencing factors of death and treatment. Results: 550 cases were cured(97%), 16 cases died(3%). After 1 years of follow-up, 2 cases of cerebral palsy children. Children with no damage to the nervous system. The mortality rate of children was significantly higher than that of rural city children with normal weight; Infant mortality is higher than that of low birth weight patients; death age < 1 days, 1 days was significantly higher than that of children. And there was a significant difference(P < 0.05). Conclusion: neonatal hypoxic ischemic encephalopathy with cerebral palsy sequelae, and higher mortality in patients with clinical treatment, need to adopt comprehensive treatment measures. In order to ensure the healthy growth of children.