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高压氧治疗新生儿缺氧缺血性脑病远期预后的调查
引用本文:许平 赵仙芝. 高压氧治疗新生儿缺氧缺血性脑病远期预后的调查[J]. 滨州医学院学报, 1999, 22(3): 234-235
作者姓名:许平 赵仙芝
作者单位:[1]聊城市人民医院 [2]阳谷县妇幼保健站
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,同时进行体格发展和神经系统、视力、听力检查。结果 高压氧 13人遗留各种类型神经系后遗症,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

关 键 词:预后 治疗 新生儿 缺氧缺血性脑病

ALONGTERMFOLLOWUPFORNEONATESWITHHYPOXICISCHEMICENCEPHALOPATHYTREATEDWITHHYPERBARICOXYGEN
XuPing,SunShizhi,ZhangFengyu,etal. ALONGTERMFOLLOWUPFORNEONATESWITHHYPOXICISCHEMICENCEPHALOPATHYTREATEDWITHHYPERBARICOXYGEN[J]. Journal of Binzhou Medical College, 1999, 22(3): 234-235
Authors:XuPing  SunShizhi  ZhangFengyu  etal
Abstract:Objective: Tostudythelongtermprognosisofthenewbornswithhypoxicischemicencephalopathytreatedwithhyperbaricoxygen(HPO). Methods: 78patientsintheHPOgroupweretreatedwithcombinedtreatmentandHPO,onceaweekfor510times.Incontrolgroup,68patientsweretreatedonlywithcombinedtreatment.Duringthetreatment,therecoverytimesofneurosiswereobserved.Aftertheyweredischarged,allpatientswerefollowedup.TheIQwasestimatedbyWechslerIntelligenceScaleforchildren(WISCCR).Physicalandmentaldevelopment,visionandhearingwerealsoexamined. Results: InHPOgroup,13patientssufferedfromvariouskindsofsequelaeofnervoussystemand1died;Butincontrolgroup,16patientssufferedfromvariouskindsofsequelaeofnervoussystemand6died. Conclusion: TheprognosisofHPOgroupwassignificantlyimprovedinseverepatientswithhypoxicischemicencephalopathy.ButtherewasnosignificantdifferenceinmildandmoderatepatientsbetweentheHPOgroupandcontrolgroup.
Keywords:hyperbaricoxygen  cerebralanoxia  prognosis  treatment  neonates
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