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目的:探讨病新生儿窒息引起缺氧缺血性脑病正确治疗方法。方法:对44例窒息引发缺氧缺血性脑新生儿临床资料进行回顾性分析,内容包括临床表现、治疗方法、临床疗效等,将所得结果进行统计学分析并总结新生儿窒息引发缺氧缺血性脑病预防措施。结果:44例患儿治疗前NBNA评分均小于35分,经治疗后仅34.09%患儿NBNA评分小于35分;患儿治疗6个月后及治疗1年后GMFM评分情况均较治疗前显著上升,且治疗1年后GMFM评分上升程度更为明显(P<0.05)。结论:确诊新生儿窒息后应及时给予干预措施预防缺氧缺血性脑病发生,一旦确诊为缺氧缺血性脑病则应尽早实施药物治疗结合功能锻炼,改善患儿神经功能及运动功能,保障其预后及生活质量。
Objective: To explore the correct treatment of neonatal asphyxia caused by hypoxic-ischemic encephalopathy. Methods: The clinical data of 44 neonates with hypoxic-ischemic brain damage induced by asphyxia were retrospectively analyzed. The clinical data including clinical manifestation, treatment and clinical efficacy were retrospectively analyzed. The results were statistically analyzed and the neonatal asphyxia induced hypoxia-deficiency Hemorrhagic encephalopathy prevention measures. Results: The NBNA scores of all the 44 children before treatment were less than 35 points. Only 34.09% of children had NBNA score less than 35 points after treatment. The score of GMFM 6 months after treatment and 1 year after treatment was significantly higher than that before treatment , And the level of GMFM increased more significantly after one year of treatment (P <0.05). Conclusion: Newborns diagnosed asphyxia should be promptly given interventions to prevent the occurrence of hypoxic-ischemic encephalopathy, once diagnosed with hypoxic-ischemic encephalopathy should be implemented as soon as possible drug treatment combined with functional exercise to improve children’s neurological and motor function, protection Its prognosis and quality of life.