您的位置:山东大学 -> 科技期刊社 -> 《山东大学学报(医学版)》

山东大学学报(医学版)

• 论文 • 上一篇    

尼莫地平合用生脉注射液治疗早产儿颅内出血的临床疗效观察

朱炳亮,李金成,孙素芳,黄秋静   

  1. 山东省苍山县人民医院, 山东 苍山 277700
  • 收稿日期:2007-03-13 修回日期:1900-01-01 出版日期:2007-05-24 发布日期:2007-05-24
  • 通讯作者: 朱炳亮

Effect of nimodipine conjoin pulse activating injection on premature intracranial hemorrhage

ZHU Bing-liang, LI Jin-cheng, SUN Su-fang, HUANG Qiu-jing   

  1. Cangshan County People′s Hospital, Cangshan 277700, Shangdong, China
  • Received:2007-03-13 Revised:1900-01-01 Online:2007-05-24 Published:2007-05-24
  • Contact: ZHU Bing-liang

摘要: 目的:探讨尼莫地平合用生脉注射液治疗早产儿颅内出血的临床疗效。 方法: 138例患儿随机分为对照组(n=60)和治疗组(n=78), 治疗组在治疗早产儿各项并发症的基础上加用尼莫地平和生脉注射液,动态观察其有效率、存活率,脑积水、脑室旁白质软化、智力低下和脑瘫的发生率。结果:①对照组显效25.0%、有效30%、有效率55%,治疗组显效33.3%、有效44.8%、有效率78.1%(χ2=14.6,P<0.01);②存活率对照组为75.5%、治疗组为88.5%(χ2=4.7,P<0.05);③脑积水的发生率,对照组为37.7%,治疗组为8.7%(χ2 =14.3,P<0.01);④脑室旁白质软化的发生率,对照组为37.8%,治疗组为18.5%(χ2=5.0,P<0.05);⑤智力低下的发生率,对照组为33.0%,治疗组为8.7%(χ2=11.0,P<0.01);⑥脑瘫的发生率,对照组为17.0%,治疗组为4.3%(χ2=5.4,P<0.05)。结论:尼莫地平、生脉注射液联合应用治疗早产儿颅内出血,可以提高存活率、减少并发症和后遗症,改善预后。

关键词: 生脉注射液 , 尼莫地平, 婴儿, 早产, 颅内出血

Abstract: Objective: To observe the clinical efficacy of nimodipine conjoin pulse activating injection on pretmature intracranial hemorrhage. Methods: One hundred and thirty-eight patients who had intracranial hemorrhage were randomly divided into the treatment group(n=78) and the control group(n=60). The complications were positively treated, and also the treatment group accepted nimodipine conjoin pulse activating injection. The effective rate, mortality, occurrence of hydrocephalus, peri-ventricular leucomalacia, mental retardation and cerebral palsy were observed. Results: The efficacy of the treatment group (78.1%) was better than that of the control group (55.0%) (P<0.01). The mortality and the occurrence rate of hydrocephalus, peri-ventricular leucomalacia, mental retardation and cerebral palsy of the treatment group were respectively 11.5%, 8.7%, 18.5%, 8.7% and 4.3%, which were all significantly lower than those of the control group: 25.0%, 37.7%, 37.8%, 33.0% and 17.0%(P<0.05 or P<0.01). Conclusions: Nimodipine conjoin pulse activating injection is a safe and effective method for premature intracranial hemorrhage. It cannot only reduce the mortality, but also decreases the complications and sequela.

Key words: Intracranial hemorrhages, Infant, premature, Nimodipine, Pulse activating injection

中图分类号: 

  • R722.151
[1] 郑苏,陈述花,李华,邓劼,陈春红,王晓慧,冯卫星,韩萧迪,张雨佳,李娜,李莫,方方. 脑电变化和BASED评分与54例婴儿痉挛症促肾上腺皮质激素疗效的相关性[J]. 山东大学学报 (医学版), 2022, 60(9): 91-96.
[2] 赵海青,李保敏,杨小凡,张童,李军,赵永恒,高靓. 急性间歇性卟啉病伴婴儿痉挛1例及文献复习[J]. 山东大学学报 (医学版), 2022, 60(6): 82-89.
[3] 张文红,王翠翠,王小康,张君,郝薇. 硫酸多黏菌素B治疗极早早产儿感染泛耐药肺炎克雷伯菌1例[J]. 山东大学学报 (医学版), 2022, 60(2): 121-124.
[4] 关恒云,刘岚铮,姜慧钰,白爱英,刘辉,赵小冬,高尚,李娜,阮师漫. 利用时间质谱检出312例6月龄内健康婴儿鼻咽部微生态菌群的分布特征[J]. 山东大学学报 (医学版), 2022, 60(10): 49-56.
[5] 马雪,王凤雪,张书乐,李桂梅. 9例以顽固性低血糖为首要表现的婴儿垂体柄阻断综合征的临床特征报道[J]. 山东大学学报 (医学版), 2021, 59(2): 60-65.
[6] 杜爽,韩德新,林少倩,白硕鑫,赵小冬,王兆军,王志萍. 孕期环境温度对早产风险的影响[J]. 山东大学学报 (医学版), 2021, 59(12): 134-142.
[7] 耿玲,张欢欢,张甜甜. 459例试管婴儿备孕期高龄女性膳食蛋白质摄入现状分析[J]. 山东大学学报 (医学版), 2021, 59(11): 29-34.
[8] 宋媛媛,李桂梅. 婴儿Lowe综合征1例[J]. 山东大学学报 (医学版), 2019, 57(4): 119-121.
[9] 贾桂娟,李保敏, 雷革非, 孙若鹏, 刘心洁. 婴儿痉挛转型前发作持续时间与临床疗效分析[J]. 山东大学学报 (医学版), 2019, 57(10): 112-117.
[10] 李娅,袁鹏,张飞雪,邵广瑞. 肺脏超声在肺表面活性物质治疗早产儿呼吸窘迫综合征中的评价作用[J]. 山东大学学报 (医学版), 2018, 56(2): 34-40.
[11] 仇杰,臧丽娇,庄根苗,安丽. 不同胎龄围生期窒息与多器官功能损伤的相关性[J]. 山东大学学报(医学版), 2016, 54(9): 64-68.
[12] 潘艳艳,孙永超,赵翠芬,孔清玉. 波生坦治疗婴儿先心病合并肺动脉高压的临床观察[J]. 山东大学学报(医学版), 2016, 54(2): 53-56.
[13] 杨秋梅. 婴儿期迟发型维生素K依赖因子缺乏症62例分析[J]. 山东大学学报(医学版), 2014, 52(S2): 94-95.
[14] 顾红兵, 康爱建. 三种不同喂养方式对婴儿肠道菌群的影响[J]. 山东大学学报(医学版), 2014, 52(S1): 75-76.
[15] 慈春燕,李文,卢宪梅. 早产儿早期振幅整合脑电图特点的分析[J]. 山东大学学报(医学版), 2012, 50(9): 109-112.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!