高压氧治疗新生儿缺氧缺血性脑病远期预后的调查  

ALONGTERMFOLLOWUPFORNEONATESWITHHYPOXICISCHEMICENCEPHALOPATHYTREATEDWITHHYPERBARICOXYGEN

作　　者：许平[1,2] 孙世志[1,2] 张风玉 温以良[1,2] 赵仙芝 

机构地区：[1]聊城市人民医院 [2]阳谷县妇幼保健站

出　　处：《滨州医学院学报》1999年第3期234-235,共2页Journal of Binzhou Medical University

摘　　要：目的：了解高压氧治疗新生儿缺氧缺血性脑病的预后。方法：综合治疗的基础上给予高压氧治疗，每日１次，５～１０次为一个疗程，为高压氧治疗组；６８例仅给予综合治疗作为对照组。观察神经症状的恢复时间。出院后随访，采用韦氏法进行智力检测，同时进行体格发育和神经系统、视力、听力检查。结果：高压氧组有１３人遗留各种类型神经系统后遗症，死亡１人。结论：轻度病人两组预后无显著性差异，中度病人无显著性差异，重度病人高压氧组预后明显优于对照组。Objective: Tostudythelongtermprognosisofthenewbornswithhypoxicischemicencephalopathytreatedwithhyperbaricoxygen(HPO). Methods: 78patientsintheHPOgroupweretreatedwithcombinedtreatmentandHPO,onceaweekfor510times.Incontrolgroup,68patientsweretreatedonlywithcombinedtreatment.Duringthetreatment,therecoverytimesofneurosiswereobserved.Aftertheyweredischarged,allpatientswerefollowedup.TheIQwasestimatedbyWechslerIntelligenceScaleforchildren(WISCCR).Physicalandmentaldevelopment,visionandhearingwerealsoexamined. Results: InHPOgroup,13patientssufferedfromvariouskindsofsequelaeofnervoussystemand1died;Butincontrolgroup,16patientssufferedfromvariouskindsofsequelaeofnervoussystemand6died. Conclusion: TheprognosisofHPOgroupwassignificantlyimprovedinseverepatientswithhypoxicischemicencephalopathy.ButtherewasnosignificantdifferenceinmildandmoderatepatientsbetweentheHPOgroupandcontrolgroup.

关 键 词：预后 治疗 新生儿 缺氧缺血性脑病 

分 类 号：R722.120.5[医药卫生—儿科]