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缺氧缺血性脑病的个性化康复方案:一例报告

Tailored Rehabilitation Protocol on Hypoxic-Ischemic Encephalopathy: A Case Report.

作者信息

Songire Disha S, Sharath H V

机构信息

Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Department of Pediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Sep 11;16(9):e69234. doi: 10.7759/cureus.69234. eCollection 2024 Sep.

Abstract

Hypoxic-ischemic encephalopathy (HIE) is a dangerous illness that happens when a newborn's brain does not receive adequate oxygen and blood flow, which is frequently caused by difficulties during pregnancy or delivery. This case focuses on the many outcomes and treatment techniques for HIE, which can result in serious effects such as cerebral palsy and epilepsy. The hypoxic-ischemic event can occur before, during, or after birth, and it is probable causes include maternal variables, delivery procedures, placental difficulties, or infant disorders. In this case report, a male infant diagnosed with HIE required ventilator support and subsequently developed pneumonia. He experienced respiratory problems and feeding challenges. The report illustrates that treating neonatal HIE with a combination of chest physiotherapy and oromotor stimulation (OMS) may have beneficial effects. Improvements in respiratory and neurodevelopmental functioning were noted, highlighting the therapy's potential to aid recovery and enhance overall well-being.

摘要

缺氧缺血性脑病(HIE)是一种危险的疾病,发生在新生儿大脑未获得足够的氧气和血流时,这通常是由孕期或分娩期间的困难引起的。本病例聚焦于HIE的多种后果及治疗技术,HIE可导致诸如脑瘫和癫痫等严重影响。缺氧缺血事件可发生在出生前、出生时或出生后,其可能原因包括母体因素、分娩过程、胎盘问题或婴儿疾病。在本病例报告中,一名被诊断为HIE的男婴需要呼吸机支持,随后患上了肺炎。他出现了呼吸问题和喂养困难。该报告表明,联合胸部物理治疗和口运动刺激(OMS)治疗新生儿HIE可能具有有益效果。观察到呼吸和神经发育功能有所改善,突出了该疗法在帮助恢复和提高整体健康方面的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63d/11470821/ca41e499646d/cureus-0016-00000069234-i01.jpg

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