摘要
目的探讨新生儿脑损伤与窒息的相关性。方法选取2006年10月～2007年4月在我院出生的132例新生儿，其中早产儿67例，足月儿65例，全部进行颅脑B超检查，并整理、分析相关的临床资料。结果132例新生儿病例中，脑损伤36例，其中早产儿27例，占早产儿的40．3％（27／67），足月儿脑损伤9例，占足月儿的13．8％（9／65）。低出生体重儿脑损伤23例，占低出生体重儿的41．4％（23／56），正常出生体重儿脑损伤13例，占正常出生体重儿17．1％（13／76）。早产儿、低出生体重儿颅脑损伤发生率分别较足月儿、正常出生体重儿明显升高，统计学有明显差异（P〈0．01，P〈0．05），早产儿、低出生体重儿脑损伤在对照组与窒息组间比较无明显差异（P〉0．05），而足月儿、正常出生体重儿在对照组、与窒息组间存在明显差异（P〈0．05）。结论新生儿窒息是引起足月儿、正常出生体重儿脑损伤的主要因素。颅脑B超可对新生儿脑损伤作出早期诊断。
Objective To explore the correlation between craniocerebral injury and asphyxia. Methods B-ultrasonography was used to conduct craniocerebral examinations of 132 newborns including 67 premature ones and 65 full-term ones from October, 2006 to April, 2007. Results Of the 132 cases, 36 suffered from craniocerebral injury. 40.3% （27 cases） of the premature infants and 13.8% （9 cases） of the full-term ones were diagnosed with craniocerebral injury. The disuse occurred in 23 cases of low birth weight newborns, accounting for 41.4%. 13 normal birth weight newborns suffered from the disease,accounting for 17.1% of the normal ones. There existed significant differences in the rate of craniocerebral injury between premature, low birth weight newborns and the full-term and normal birth weight ones（ P 〈 0.01, P 〈 0.05）. No significant differences were found between the contrast group and the group of asphyxia （ P 〉0.05） in terms of the craniocerebral injury of premature, low birth weight newborns, but significant differences was found between the contrast and asphyxia groups of full-term and normal newbrons（ P 〈 0.05）. Conclusion Asphyxia is the major factor leading to craniocerebral injury in full-term, normal birth weight infants, and B-ultrasinography can be used to conduct early diagnosis of the disease.
出处
《山东医学高等专科学校学报》
2007年第6期443-445,共3页
Journal of Shandong Medical College
基金
临沂市科技攻关计划项目(No.0713069)
关键词
新生儿窒息
脑损伤
B超诊断
Asphyxia in newborns
Craniocerebral injury
B- ultrasonography
