摘要
目的 了解新生儿缺氧缺血性脑病 (HIE)患儿 1～ 3年的预后。 方法 对存活出院的15 7例 HIE患儿定期随访 ,采用 Gesell智能初评法、体格发育及 Vojta七种姿势检查 ,综合评估预后。结果 12 9例康复。2 8例异常 ,其中 7例仅表现为轻度智力低下 ,脑电图及 Vojta检查在正常范围。2 1例有明显神经系统后遗症 ,其中脑性瘫痪 16例 ,婴儿痉挛症 5例 ,后遗症发生率为 13.4%。 结论 新生儿 HIE可致神经系统后遗症 ,其预后的好坏与急性期临床分型及神经系统症状的严重程度、持续时间密切相关。综合多项临床资料可相对准确地预测预后。
Objective To study one to three years prognosis of neonates with hypoxic ischemic encephalopathy (HIE). Methods We followed up 157 survivors suffered from HIE periodically. The DQ was estimated by using Gesell intelligence scale, the growth development and Vojta seven positions were examined. Results Twenty eight babies were abnormal. Seven of them showed mild mental retardation with normal. EEG and Vojta check twenty one had sequelae of nervous system, including 16 cerebral palsy and 5 infantile spasms. The rate of sequelae was 13.38%. Conclusion HIE may lead to sequlas of nervous system and the prognosis is related closely with clinical classification in atacute period, severity of symptoms of nervous system, and its lasting time. We can predict prognosis by collecting clinical materials.
出处
《中华围产医学杂志》
CAS
2000年第3期166-168,共3页
Chinese Journal of Perinatal Medicine
