新生儿窒息后神经行为与脑血流变化的临床关系

来源 :中国优生与遗传杂志 | 被引量 : 0次 | 上传用户:wwb158
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本文应用彩色多普勒动态检测30例正常新生儿及25例窒息新生儿脑动脉血流变化并同时时两组新生儿于日龄3、7、14、28天进行了神经行为测定(NBNA),以探讨窒息后脑血流变化与新生儿行为的相互关系。研究结果显示正常组新生儿行为及脑血流均显示正常。窒息组日龄3天脑血流异常及新生儿行为异常17例(68%),日龄7天双项异常7例(28%),单项异常4例,日龄14天双项异常4例(16%),单项异常2例,一岁后随访,有2例合并脑积水。智力测试(CDCC)10例,低于正常3例。监测窒息后脑血流参数变化结合NBNA的动态监测,评价窒息后脑损伤的程度及预后,多项指标较单项指标准确、客观、全面。 In this paper, 30 cases of normal newborns and 25 cases of asphyxia newborn cerebral blood flow changes were detected dynamically by color Doppler. At the same time, two groups of newborns were subjected to neurobehavioral determination (NBNA) on days 3, 7, 14 and 28 days. To explore the relationship between cerebral blood flow changes and neonatal behavior after asphyxia. The results show that the normal group of neonatal behavior and cerebral blood flow were normal. In asphyxia group, there were 17 cases (68%) of cerebral blood flow abnormalities and neonatal behavioral abnormalities on day 3 of age, 7 cases (28%) of bi-phase abnormalities on day 7, 4 cases of single abnormalities, 4 cases of abnormalities (16%), single abnormalities in 2 cases, followed up after the age of one, 2 cases of hydrocephalus. Intelligence test (CDCC) in 10 cases, lower than normal in 3 cases. Monitoring changes of cerebral blood flow parameters after asphyxia Combined with the dynamic monitoring of NBNA to evaluate the degree and prognosis of brain injury after asphyxiation, the multiple indicators are more accurate and objective than the single indicators.
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