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神经节苷脂联合促红细胞生成素治疗新生儿缺氧缺血性脑病的临床疗效

吕红艳   

  1. 邯郸市妇幼保健院
  • 收稿日期:2017-08-25 修回日期:2017-08-25 出版日期:2017-09-25
  • 基金资助:
    河北省科技计划项目(项目编号:162777201;项目名称:EPO结合亚低温对新生儿中重度HIE患儿血清Tau蛋白和炎性细胞因子水平的影响);河北省医学科学研究重点课题计划指令性课题项目(项目编号:20150033;项目名称:促红细胞生成素对中重度HIE新生儿血清CRP、sICAM-1和TNF-α的影响);邯郸市科学技术研究与发展计划项目(项目编号:1528108079-6;项目名称:促红细胞生成素治疗新生儿缺氧缺血性脑病的临床疗效及作用机制)

Clinical Effect of GM-1 Combined with EPO on Hypoxic Ischemic Encephalopathy of Newborn

吕红艳   

  1. Handan Maternal and Child Health-Care Hospital
  • Received:2017-08-25 Revised:2017-08-25 Online:2017-09-25

摘要: 目的:探究神经节苷脂(GM-1)联合促红细胞生成素(EPO)治疗新生儿缺氧缺血性脑病的临床疗效。方法:选取我院2015~2016年因新生儿缺氧缺血性脑病住院患儿78例,随机分为研究组和对照组,每组各39例,研究组患儿给予GM-1联合EPO治疗,而对照组患儿给予GM-1治疗,此外两组患者均给予常规治疗,分别对两组患儿进行神经学、新生儿神经行为评定(NBNA评分)、智能发育评估(CDCC评估)、Gesell发育评分,对两组患儿治疗效果进行评定并对两组患儿进行比较。结果:研究组总体有效率为94.9%,高于对照组82.1%,且两组之间差异具有统计学意义(P<0.05);研究组患儿1周龄时的神经学评分(2.67±0.42),低于对照组患儿(2.94±0.81),且两组之间差异具有统计学意义(P<0.05);研究组患儿在7d、14d、28d的NBNA评分均高于同期对照组患儿,且两组之间差异具有统计学意义(P<0.05);研究组患儿于3月龄、6月龄时的CDCC评分以及10月龄时的Gesell评分均高于对照组患儿,且其差异均具有统计学意义(P<0.05)。结论:GM-1联合EPO治疗新生儿缺氧缺血性脑病具有良好的临床疗效,具有较大的临床价值。

Abstract: Objective:To research the clinical effect of GM-1 combined with EPO on hypoxic ischemic encephalopathy (HIE)of newborn.Methods:78 cases of HIE in our hospital from 2015 to 2016 were randomly divided into research group and control group,39 cases in each group. Patients in research group were given GM-1 and EPO;Patients in control group were given GM-1. Besides,patients in both groups were given conventional therapy.Neurological scores,NBNA,CDCC,Gesell development scores and clinical effect evaluation were performed on all the newborn patients of the two groups.Results:Total effective rate was 94.9% of research group, and 82.1% of the control group, with statistically significant difference(P<0.05).At the 7th day after born,the neurological scores of the research group was (2.67±0.42)points, lower than (2.94±0.81)points in the control group.The difference was statistically significant(P<0.05).At the 7th,14th,28th day after born,the NBNA scores of the research group were higher than that of the control group.The difference was statistically significant(P<0.05).The CDCC scores at the 3th,6th month after born,and the Gesell score at the 10th month after born in the research group was higher than those in the control group (P<0.05).Conclusion:GM-1 combined with EPO on the treatment of HIE is of high clinical efficiency and of great clinical value to generalize.