全身亚低温治疗新生儿缺氧缺血性脑病中的监护  

The intensive care measure of systemic hypothermia on neonatal hypoxia-is chemic encephalopathy

作　　者：李慧[1] 王玲[1] 程秀永[1] 朱长连[1] 李同川[1] 吉玲[1] 

机构地区：[1]郑州大学第三附属医院新生儿重症救护中心,河南郑州450052

出　　处：《河南医学研究》2005年第4期362-364,共3页Henan Medical Research

基　　金：河南省杰出青年基金资助项目(20006);河南省医药卫生创新人才工程资助项目(200084001)。

摘　　要：目的:通过对缺氧缺血性脑病患儿进行全身亚低温治疗过程中的监护,探讨新生儿全身亚低温治疗的有效监护措施。方法:采用德国产TSMed2000低温治疗仪,专人监护,在60min内将患儿肛温降至33℃～34℃并持续72h。在低温治疗中,专人负责监护患儿的体温、呼吸、心率、血压、神志反应、经皮血氧饱和度及皮肤硬肿情况。结果:亚低温治疗组心率不稳定,比对照组有明显降低(P<0.05),而呼吸频率及血压均无明显差异(P>0.05)结论:全身亚低温治疗过程中严密合理的监护措施是保证临床安全性和有效性的关键。Objective ： To investigate the effective of intensive care measure of systemic hypothermia on neonatal hypoxia-ischemic encephalopathy（HIE）. Methods： Newborn infants were got parental consent and the rectal tempreture was reduced to 33℃ - 34℃ in 60 minutes, maintained for 72 h by cooling device made in Germany. The respiration, heart rate, body tempreture, blood pressure, consiciousness and skin lesions were monitored by professional nurses during hypothermia treatment. Results ： Significantly decreased heart rate was found in hypothermia group during hypothermia treatment. Respiratory rate and blood pressure were relatively steady. Conclusion： Reasonable and rigorous intensive care measure is very important to ensure the clinical safety and availability of systemic hypothermia on neonatal HIE.

关 键 词：新生儿 低温 脑缺氧 脑缺血 监护 

分 类 号：R722.1[医药卫生—儿科]