论文部分内容阅读
本文对277例新生儿缺氧缺血性脑病(HIE)与胎龄的关系进行探讨,结果发现:早产儿HIE与足月儿HIE临床分度与CT分度之间的差异均呈显著性意义(x~2=8.78、7.67,P均<0.05),早产儿HIE分度较足月儿严重。早产儿HIE的临床分度与CT分度基本呈一致性,以中度为主。足月儿HIE的临床分度与CT分度一致性较差。早产儿HIE与足月儿HIE之间合并颅内出血的发生率、出血类型及其他并发症发生率的差异也呈显著性意义(x~2=6.41、4.11,P均<0.05)。提示:结合胎龄特点对新生儿HIE进行临床分度和CT分度及并发症的综合分析,能进一步提高诊断的准确性。
In this paper, 277 cases of neonatal hypoxic-ischemic encephalopathy (HIE) and gestational age were explored, the results showed that: HIE of preterm children and full-term children HIE clinical index and CT classification differences were significant (x ~ 2 = 8.78,7.67, P <0.05). HIE index in preterm infants was more serious than full-term infants. The clinical classification of HIE in preterm infants was basically consistent with CT classification, with a moderate degree. Full-term children HIE clinical index and CT indexing consistency is poor. The incidence of intracranial hemorrhage, bleeding type and other complication rates between HIE of premature infants and full-term infants also showed significant difference (x ~ 2 = 6.41, 4.11, P <0.05). Tip: combined with gestational age characteristics of neonatal HIE clinical index and CT classification and complications of a comprehensive analysis, to further improve the diagnostic accuracy.