摘要
目的 为了解新生儿缺氧缺血性脑病（ Ｈ Ｉ Ｅ） 对患儿远期体格发育和智力发育的影响。方法 对４８ 例经头颅 Ｃ Ｔ及临床表现确诊为 Ｈ Ｉ Ｅ 的患儿进行了远期随访，体格发育用 Ｋａｕｐ 指数对小儿身高、体重等进行评估，智力发育测量用 Ｇｅｓｅｌｌ 智能发育量表。结果 Ｈ Ｉ Ｅ 与正常儿对照组在体格发育上无显著性差异（ Ｐ ＞ ０ ．０５） ，智力低下可发生在中、重度 Ｈ Ｉ Ｅ 患儿中。结论 降低 Ｈ Ｉ Ｅ 所致的智残，除建立自主呼吸≤２０ 分钟外，还要重视复苏后７２ 小时内保护心、肾、脑、以防止 Ｈ Ｉ Ｅ。
Long -term following- up of hypoxic- ischemic encephalopathy Z H A O Ping , Z H O U Chun - mei, L I N G Su - hui,et al. ( Pediatrics Dept. Central Hosp .of Huizhou , Guangdong 516000 , China)【 Abstract】 Objectives To understand the long - term effect of hypoxic -ischemic encephalopathy ( H I E) on physical growthand mental development. Methods Long- term following - up were performed on 48 cases of H I Econfirmed by cranial C Tand clinical manifestations. The physical growth ,including height and weight,were evaluated with Kaup indexes,and mental development wasassessed by Gesellintelligentdeveloopment measure . Result Compared with the control group which consisted of normalchildren ,children with H I Eshown no obvious differencein physical growth ,( P> 0 .05) while mentaldeficiency mostly occurred in those with moderate and serious H I E. Conclusions To reducetheincidence of mentaldeficiency caused by H I E,spontaneous breath should befoundedin lessthan 20 minutes ,protection of heart,kidneysand brain after resuscitation should be emphasized and children with H I Eshould betreated as early as possible.【 Key words】 Newborn ; Cerebralischemia ; Cerebralano
出处
《宁夏医学杂志》
CAS
1999年第9期531-532,共2页
Ningxia Medical Journal
