论文部分内容阅读
目的 :探讨新生儿缺氧缺血性脑损伤与胎龄的关系。方法 :对 1 4 7例足月儿和 85例早产儿缺氧缺血性脑损伤进行临床分度、CT分度及二者之间的一致性比较。结果 :① 临床轻、中、重度。足月儿以轻度为主 ,早产儿以中度为主 ,2组比较有显著差异 (X2 =1 0 3 6,P <0 0 5 ) ;②CT轻、中、重度。足月儿以中度占优势 ,早产儿以中度以上为主 ,但 2组对比已无统计学意义 (X2 =1 2 8,P >0 0 5 )。临床分度和CT分度之间的一致性 ,足月儿较差 ,存在不平行现象 ,早产儿基本呈一致性。结论 :新生儿缺氧缺血脑损伤程度与胎龄有相关关系 ,胎龄愈小 ,病变愈危重 ,病死率越高
Objective: To investigate the relationship between neonatal hypoxic-ischemic brain damage and gestational age. Methods: The clinical index, CT index and the consistency between the two groups were compared in 144 cases of full-term infants and 85 premature infants with hypoxic-ischemic brain damage. Results: ① clinical light, moderate and severe. The full-term infants were predominantly mild and preterm infants were moderately predominant. There were significant differences between the two groups (χ2 = 103.6, P <0.05); ②CT was mild, moderate and severe. The full-term infants were moderately predominant and preterm infants were moderate to above, but no significant difference was found between the two groups (X2 = 128, P> 0.05). Consistency between clinical index and CT index, full-term children is poor, there is not parallel, the basic consistency of premature children. Conclusion: Neonatal hypoxic-ischemic brain damage and gestational age have a correlation, the smaller the gestational age, the more serious lesions, the higher the mortality rate