Early Intervention of Selective Head Sub-hypothermia in Full Term Infant with Severe Asphyxia
10.3760/cma.j.issn.1008-6706.2012.08.003
- VernacularTitle:选择性头部亚低温对足月新生儿重度窒息的早期干预
- Author:
Qiang LIN
;
Jingguo CHEN
;
Kaijun ZHENG
;
Ronghua XIA
;
Huijuan HUANG
;
Xiufang YANG
;
Jian CHEN
;
Chunhua YE
- Publication Type:Journal Article
- Keywords:
Asphyxia neonatorum;
Hypothermia,induced
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;(8):1125-1126
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study the curative effect of early intervention on selective head sub-hypothermia in full term infant with severe asphyxia.MethodsForty two full term infant with severe asphyxia were randomly divided into treatment(n =22) and control ( n =20) group,all patients were treated according to three supportive therapy and three heteropathy after resuscitation,and meanwhile the treament group combined with selective head sub-hypothermia.In the 2 groups,heart and breath oxygen saturation,blood sugar were measurded within 72 hours after treatment,and the Chinese 20-item neonate nerve behaviors were evaluated 28 days after birth.Test were conducted with the Bayley infant development scale in 2 months after birth.ResultsAfter 72 hours of treatment,the heart rate of treatment group reduced and showed significant difference from that of contol group and restored to normal.There were no significant differences in breath,blood pressure(BP),degree of blood ozygen saturation,blood sugar between the 2 groups.After 28 days of birth,scores of neonate nerve behaviors were ( 37 ± 3) in treatment group and (31 ± 3) in control group,respectively ;which showed significant difference ( P < 0.01 ).In the 2nd months of birth,scores of Bayley infant development scale were (91 ± 3 ) in treatment group and ( 86 ± 4 ) in control group,respectively,which showed significant difference(P < 0.05 ).ConclusionSelective head sub-hypothermia was convenient and safe,and had reliable curative effect by relieving or prenventing sequel and raising quality of life.