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目的 :探讨新生儿缺氧缺血性脑病 (HIE)行为神经测定 (NBNA)与临床、头颅CT的关系。方法 :对 96例HIE患儿进行动态 2 0项NBNA评分 ,并与临床分度、头颅CT分度比较。结果 :第 5～ 7天临床、头颅CT愈重 ,NBNA评分异常率愈高(P <0 .0 1和P <0 .0 0 5 ) ;第 12～ 14天临床轻中度患儿NBNA评分恢复正常率明显高于重度患儿 ,其中轻度恢复更明显 (P <0 .0 0 5 ) ;第 2 4～ 2 8天轻中度患儿NBNA评分可进一步恢复 (P <0 .0 0 5 )。第 4周头颅CT检查 9例异常者 ,NBNA均低于 35分 (P <0 .0 0 5 ) ,临床随访均有不同程度的后遗症。结论 :动态NBNA评分有助于评估HIE的病情和预后
Objective: To investigate the relationship between neonatal hypoxic-ischemic encephalopathy (HIE) behavioral nerve assay (NBNA) and clinical and cranial CT. Methods: A total of 96 children with HIE underwent dynamic NBNA score, and compared with clinical index and cranial CT index. Results: From the 5th to 7th day, the heavier head CT, the higher NBNA score (P <0.01 and P <0.05), the NBNA score on the 12th to 14th day The recovery rate was significantly higher than that in severe children, and mild recovery was more obvious (P <0.05). The NBNA score of 24th to 28th day mild to moderate children could be further recovered (P <0. 0 0 5). In the fourth week, 9 cases of abnormal craniocerebral CT were detected, NBNA were less than 35 points (P <0.05), clinical follow-up has varying degrees of sequelae. Conclusion: The dynamic NBNA score can help to evaluate the condition and prognosis of HIE