早期微创穿刺术治疗新生儿迟发性维生素K缺乏致颅内血肿的效果

【摘要】目的：探讨早期微创穿刺术在新生儿迟发性维生素K缺乏致颅内血肿治疗中的效果。方法：选取本院2011-01/2013-12间的70例新生儿迟发性维生素K缺乏致颅内血肿患儿作为此次研究的对象，依据患儿家属自愿的原则采取治疗措施进行分为研究组与对照组，30例对照组给予保守治疗，40例研究组给予早期微创穿刺术治疗，观察两组的临床治疗效果。结果：研究组临床治疗有效率92.5%，明显的高于对照组的73.3%，两组数据比较差异有统计学意义（P＜0.05）。研究组病残率为2.5%，明显的低于对照组的10.0%，差异有统计学意义（P＜0.05）。研究组患儿的临床治疗时间和治疗费用均明显的低于对照组，两组数据比较差异有统计学意义（P＜0.05）。研究组治疗1年后的MPI和PDI评分均明显的高于对照组，差异有统计学意义（P＜0.05）。结论：临床中对于新生儿迟发性维生素K缺乏导致颅内血肿患儿早期实施微创穿刺术治疗效果显著，提高有效率，降低病残率，缩短住院时间，创伤小，值得临床中应用。

Early minimally invasive therapy for neonatal vitamin K deficiency caused by delayed contractile hematology results

Abstract Objective: To investigate the lack of early minimally invasive surgery in the treatment of contractile hematology delayed effect in the neonatal vitamin K. Methods: hospital 2011-01 / 2013-12 among 70 neonates delayed vitamin K deficiency in children with contractile hematology as the object of the study, treatment measures based on the principle of voluntary families of children into the study group and the control group of 30 patients in the control group received conservative treatment, 40 cases of study group were given early treatment of minimally invasive surgery, clinical treatment effect in both groups. Results: The clinical study group was 92.5%, significantly higher than the 73.3% of the two groups was statistically significant difference between the data (P <0.05). Sick study group was 2.5%, significantly lower than the 10.0% in the control group, the difference was statistically significant (P <0.05). Clinical treatment time and treatment costs of childminders group were significantly lower than the control group, the difference was statistically significant data (P <0.05). Study group after 1 year of treatment MPI and PDI scores were significantly higher than control group, the difference was statistically significant (P <0.05). Conclusion: The clinical application for clinical neonatal delayed vitamin K deficiency in children leads to early minimally invasive contractile hematology puncture treatment significantly, improve efficiency, reduce morbidity, shorter hospital stay, less invasive, worth it.