| 符学兴,许峻,李可毕.HIE患儿脑损伤CT表现与临床分度的相关性.[J].中南医学科学杂志.,2024,(2):289-291. |
| HIE患儿脑损伤CT表现与临床分度的相关性 |
| Correlation between CT manifestations and clinical grading of brain injury in children with HIE |
| 投稿时间：2023-03-21 修订日期：2024-01-13 |
| DOI：10.15972/j.cnki.43-1509/r.2024.02.034 |
| 中文关键词: CT 脑损伤 儿童 临床分度 [ |
| 英文关键词:CT brain injury child clinical grading |
| 基金项目: |
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| 中文摘要: |
| 目的探讨缺血缺氧性脑损伤(HIE)患儿脑损伤CT表现与临床分度的相关性。 方法回顾性收集86例HIE患儿,分析患儿CT分度与临床分度的差异性；比较不同临床分度和颅内出血情况患儿的CT值、Apgar评分及新生儿神经行为测定(NBNA)评分；分析临床分度与CT值、颅内出血、Apgar评分和NBNA评分的相关性。 结果患儿临床分度轻度占比高于CT分度轻度占比(P＜0.05)。临床分度重度组CT值、Apgar评分和NBNA评分低于轻度组,颅内出血组CT值、Apgar评分和NBNA评分低于未出血组(P＜0.05)。临床分度与颅内出血呈正相关,与CT值、Apgar评分和NBNA评分呈负相关(P＜0.05)。 结论HIE患儿脑损伤的临床分度与CT值呈负相关,与颅内出血呈正相关；CT检查对于判断新生儿HIE脑损伤程度具有重要的指导价值。 |
| 英文摘要: |
| AimTo explore the correlation between CT manifestations and clinical grading of brain injury in children with hypoxic ischemic encephalopathy (HIE). MethodsA total of 86 children with HIE were retrospectively collected. The differences between CT grading and clinical grading were analyzed. CT value, scores of Apgar and neonatal behavioral neurological assessment (NBNA) were compared among children with different clinical grading and intracranial hemorrhage situations. The correlation between clinical grading and CT value, intracranial hemorrhage, Apgar score, NBNA score was analyzed. ResultsThe proportion of mild clinical grading was higher than that of mild CT grading (P＜0.05). CT value, Apgar and NBNA scores in severe clinical grading group were lower than those in mild group, and were lower in intracranial hemorrhage group than non-hemorrhage group (P＜0.05). Clinical grading was positively correlated with intracranial hemorrhage, but negatively correlated with CT value, Apgar and NBNA scores (P＜0.05). ConclusionThe clinical grading of brain injury is negatively correlated with CT value, but positively correlated with intracranial hemorrhage in HIE children. CT examination is of important guidance value in determining the severity of neonatal HIE. |
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