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[足月新生儿围产期缺氧和惊厥后遗症的研究]

[A study of the sequelae of perinatal hypoxia and convulsions in full-term newborn infants].

作者信息

Groenendaal F, Fetter W P, Baerts W

机构信息

Afd. Kindergeneeskunde, Academisch Ziekenhuis, Rotterdam-Sophia Kinderziekenhuis.

出版信息

Ned Tijdschr Geneeskd. 1990 Jun 23;134(25):1223-7.

PMID:2385299
Abstract

Perinatal hypoxia may result in neuromotor handicaps. The occurrence of convulsions after perinatal hypoxia is regarded as a bad prognostic sign. Thirty-two full-term babies with perinatal hypoxia were studied retrospectively. Post-hypoxic convulsions were seen in 20 newborns. In 26 out of 29 survivors follow-up assessments were made between 2 months and 2 years of age. Severe neuromotor abnormalities were demonstrated in 10 out of 19 patients with post-hypoxic convulsions, whereas no abnormalities were found in 7 patients without convulsions (p = 0.016, Fisher exact test). Although post-hypoxic convulsions are a bad prognostic sign, a number of infants with convulsions appear to develop normally. Further research on prognostic factors concerning neurodevelopment after perinatal hypoxia and convulsions appears indicated.

摘要

围产期缺氧可能导致神经运动障碍。围产期缺氧后惊厥的发生被视为不良预后指标。对32例足月围产期缺氧婴儿进行了回顾性研究。20例新生儿出现缺氧后惊厥。在29名幸存者中,26名在2个月至2岁之间进行了随访评估。19例缺氧后惊厥患者中有10例表现出严重的神经运动异常,而7例无惊厥患者未发现异常(Fisher精确检验,p = 0.016)。尽管缺氧后惊厥是不良预后指标,但一些惊厥婴儿似乎发育正常。似乎有必要对围产期缺氧和惊厥后神经发育的预后因素进行进一步研究。

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