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目的:分析盐城市第三人民医院儿科神经节苷脂的使用现状。方法:对2012年1月—2012年7月间288例使用神经节苷脂的儿科患者的情况,按病种、用药原因等进行分析。结果:用神经节苷脂治疗的288例新生儿患者中,其中窒息、高胆红素血症、病毒性脑炎、低血糖和早产儿治疗效果较明显;肺炎和咽下综合征不适宜使用;先天性梅毒、败血症、上呼吸道感染伴惊厥和高危儿患者的治疗需待商榷。结论:神经节苷脂在儿科使用方面存在不合理用药状况,用药有效性值得商榷。
Objective: To analyze the status of pediatric ganglioside use in Yancheng Third People’s Hospital. Methods: From January 2012 to July 2012, 288 cases of pediatric patients receiving gangliosides were analyzed according to the type of disease and the reason of medication. RESULTS: Of the 288 neonatal patients treated with gangliosides, the effects of asphyxia, hyperbilirubinemia, viral encephalitis, hypoglycemia and preterm birth were more pronounced; pneumonia and swallowing syndrome were not suitable for use ; Congenital syphilis, sepsis, upper respiratory tract infection with convulsions and high-risk patients need to be discussed. Conclusion: There is an irrational use of gangliosides in pediatric use. The effectiveness of the drug is debatable.