新生儿窒息后脑损伤B超诊断及其相关因素分析.pdfVIP

·656· 论 著 文章编号：1005—2224(2006)09—0656—03 新生儿窒息后脑损伤B超诊断及其相关因素分析 李惠明，习斌蓉，刘惠茹，汤一贞，唐文燕，黄绍芳 【摘要】 对196例新生儿进行颅脑B超探查，并结合临床资料对其结果进行对比分析。结果196例新生儿中共有脑损 112)。早产儿、低体重儿颅脑损伤发生率分别较足月儿、正常体重儿明显升高，且有显著差异(P0．01，P 0．05)。早产儿、低体重儿颅脑损伤在对照组与窒息组间无统计学意义(P0．05)，而足月儿、正常体重儿、剖宫 产儿颅脑损伤在对照组、窒息组间存在显著差别(P0．05)。结论新生儿窒息是引起足月儿、正常体重儿、剖 宫产儿颅脑损伤的主要因素之一；早产儿、低体重儿脑损伤发生率明显高于足月儿、正常体重儿；减少早产儿、低 体重儿的出生，可有效降低新生儿颅脑损伤的发生率；颅脑B超可作为新生儿早期颅脑损伤的诊断、筛查、跟踪 随访的重要检查手段之一。 【关键词】新生儿窒息；脑损伤；B超诊断 中图分类号：R72 文献标识码：A of in relatedfactorswith2D thecraniocerebralafternewborn Analysis ultrasonographydiagnosis injury asphyxi- a．Li a1．TheMaternalandChild Huiming，XiBinrong，LiuHuiru，et Hospitalof五angxiProvince，Nanchang330006， China Abstract To thecorrelationofcraniocerebralto innewborn．MethodsAtotal Objectiveinvestigate injuryasphyxia of196casesofHewbornheadwere with2D forcraniocerebralcombinationofclini- inspectedultrasonography injury；with cal in Was ofcraniocerebral contrastedwiththecontrol materials，thecomparison injuryasphyxiagroup group．Results Therewere73casesofcraniocerebralin196casesof were54casesofcraniocerebral them。there injury newborn．Among inallthe90 19inallthe maturenewborn．Thecranio- injury cases(60％)ofprematurenewborn。and 106(18．49％)of cerebralofnewborn Was correlatedwithfetal tofetal injury asphmasignificantlypositively age incidenceof craniocerebralin newbornorinlow newbornWas thanthatinma—