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目的评价 CT在高压氧治疗新生儿缺氧缺血性脑病 (HIE)中的作用。方法将 35 0例患儿分成观察组和对照组。观察组在综合治疗的基础上加高压氧治疗 ,每天 1次 ,10次为一疗程。结果两组患儿于第一次住院时头颅 CT表现为轻度者 ,出院后 1个月复查头颅 CT均正常 ,无显著性差异。头颅 CT表现为中度者 ,出院后 1、3、6个月复查 ,观察组 CT正常例数与对照组比较 ,有显著性差异 (P<0 .0 5 ,P<0 .0 1,P<0 .0 1)。头颅 CT表现为重度者病死率高 ,且易留后遗症 ,出院后 1、3、6个月复查头颅 CT,观察组与对照组比较 ,无显著性差异 (P>0 .0 5 )。结论可用头颅 CT来评价 HIE的治疗效果
Objective To evaluate the role of CT in hyperbaric oxygen therapy for neonatal hypoxic-ischemic encephalopathy (HIE). Methods 35 0 cases were divided into observation group and control group. Observation group in the comprehensive treatment based on hyperbaric oxygen therapy, 1 day, 10 times for a course of treatment. Results The two groups of patients had mild head CT at the first hospitalization, and the head CT was normal at one month after discharge. There was no significant difference between the two groups. The patients with moderate or severe head CT were examined at 1, 3 and 6 months after discharge. The number of normal CT cases in the observation group was significantly different from that in the control group (P <0.05, P <0.01, P <0 .0 1). Head CT showed severe cases of high mortality, and easy to stay sequelae, 1, 3, 6 months after discharge head CT review, the observation group compared with the control group, no significant difference (P> 0.05). Conclusion Head CT can be used to evaluate the therapeutic effect of HIE