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目的:比较1,6-二磷酸果糖(FDP)与辅酶Q10治疗窒息后新生儿心肌损害的临床疗效。方法:将72例窒息后心肌损害新生儿按随机数表法分为两组,A组38例,采用FPD治疗,B组34例,采用辅酶Q10治疗,比较两组临床症状消失、心率变化、ECG及CK-MB恢复情况,同时比较两组患儿低钙血症发生率。结果:A组治疗有效率为86.4%,B组为85.3%,两组疗效比较差异无统计学意义(P>0.05),但低钙血症发生率A组为68.4%,B组为29.4%,两组比较差异有统计学意义(P<0.01)。结论:FDP及辅酶Q10对窒息后新生儿心肌损害都有确切的治疗作用,但FDP易发生且加重低钙血症,故有低钙血症患儿建议改用辅酶Q10治疗,同样可收到良好疗效。
Objective: To compare the clinical efficacy of fructose 1,6 - diphosphate (FDP) and coenzyme Q10 in neonatal myocardial injury after asphyxia. Methods: Seventy-two neonates with myocardial damage after asphyxia were divided into two groups according to the random number table. Group A (38 cases) was treated with FPD. Group B (34 cases) was treated with coenzyme Q10. The clinical symptoms, heart rate, ECG and CK-MB recovery, at the same time compare the incidence of hypocalcemia in both groups. Results: The effective rate of group A was 86.4% and group B was 85.3%. There was no significant difference between the two groups (P> 0.05), but the incidence of hypocalcemia was 68.4% in group A and 29.4% in group B , The difference between the two groups was statistically significant (P <0.01). Conclusions: FDP and coenzyme Q10 have the exact therapeutic effect on neonatal myocardial damage after asphyxia, but FDP is prone to occur and aggravate hypocalcemia. Therefore, children with hypocalcemia should be treated with coenzyme Q10 and receive the same Good effect.