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目的探讨特殊体位抚触佐治新生儿缺氧缺血性脑病(HIE)的疗效。方法以2010年1月至2011年12月于江西省乐平市人民医院儿科住院的HIE患儿40例作为研究对象,随机分成两组,每组20例。对照组采用目前常用治疗方案,包括抗感染、使用营养脑细胞药物、呼吸循环、体温管理及支持对症处理。治疗组在常用治疗方案的基础上加用特殊体位(性敏感区)抚触。比较两组患儿后遗症的程度及住院天数。结果治疗组患儿症状体征消失天数显著低于对照组(P<0.05),治疗组患儿3个月后复查头颅CT或MRI脑损伤程序显著低于对照组(P<0.05)。结论特殊体位(性敏感区)抚触佐治恢复期HIE疗效肯定,且方便、安全、易于操作,值得临床推广。
Objective To investigate the curative effect of special body posture in treating neonatal hypoxic-ischemic encephalopathy (HIE). Methods From January 2010 to December 2011, 40 children with HIE who were hospitalized in Pediatrics of Leping People’s Hospital of Jiangxi Province were randomly divided into two groups (20 in each group). The control group used the current commonly used treatment programs, including anti-infective, nutrition brain cells drugs, respiratory cycles, temperature management and support symptomatic treatment. Treatment group based on the commonly used treatment programs plus special position (sensitive area) touching. The degree of sequelae and days of hospitalization were compared between the two groups. Results The number of days of symptoms and signs disappeared in the treatment group was significantly lower than that of the control group (P <0.05). After 3 months of treatment, the procedure of craniocerebral CT or MRI in the treatment group was significantly lower than that of the control group (P <0.05). Conclusion Special position (sensitive area) touches the convalescent adjuvant treatment of HIE positive effect, and convenient, safe and easy to operate, worthy of clinical promotion.