神经学评分在脑损伤新生儿治疗中的临床应用.docVIP

神经学评分在脑损伤新生儿治疗中的临床应用 　　[摘要] 目的 探讨神经学评分（NBNA）在脑损伤患儿治疗中的临床应用效果。方法 随机选取2013年4月―2014年4月该院收治的50例脑损伤新生儿资料进行分析，将其设置为实验组，选取同期入院的50名健康新生儿为对照组，两组新生儿出生后1、4周后进行神经学评分，测定新生儿大运动发育时间以及姿势反射建立时间等，比较两组评分结果。结果 实验组出生一周32例NBNA评分异常，异常率为64%；出生4周5例NBNA评分异常，异常率为10%，显著高于对照组（P0.05）；实验组出生4周NBNA评分显著高于出生1周（P0.05）；实验组新生儿抬头、独坐时间显著长于对照组（P中国论文网 /6/view-7159705.htm 　　[关键词] 神经学评分；脑损伤；应用效果 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）10（a）-0113-03 　　Clinical Application of Neonatal Behavioral Neurological Assessment in Treatment of Neonatal Brain Injury 　　MEN Xiao-bin 　　Maternal and Child Health Hospital of Juye County， Heze， Shandong Province， 274900 China 　　[Abstract] Objective To investigate the clinical efficacy of neonatal behavioral neurological assessment （NBNA） in the treatment of neonatal brain injury. Methods 50 neonates with brain injury admitted to our hospital between April 2013 and April 2014 were included in this study and they were assigned to the experimental group. Other 50 healthy neonates admitted to the hospital in the same period were assigned to the control group. NBNA was conducted on all the patients 1 week and 4 weeks after being born to determine the development of their large motor ability and postural reflex. The outcome was compared between the two groups. Results 1 week after being born， 32 neonates were observed with abnormality NBNA score and the abnormality rate was 64%； 4 weeks after being born， 5 neonates were observed with abnormality NBNA score and the abnormality rate was 10%， significantly higher than those in the control group（P0.05）； there was statistically significant difference between the NBNA score 1 week and 4 weeks after being born in the experimental group， P0.05）； in terms of duration of sitting and lifting head， the experimental group was significantly longer than the control group（P 　　[Key words] Neurological score； Brain injury； Application effect 　　新生儿脑损伤是临床上常见的疾病，这种疾病机制尚不完全知晓，且发病率较高，且主要以缺血性脑病为主。根据相关研究结果显示：新生儿脑损伤由多种缺氧、想缺血等因素引起，且严重患儿甚至会造成神经系统及智