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1、早产儿缺氧缺血性脑病低血钙的临床分析作者：江霞辉，侯春阳，梁海涛,李黄菊单位：广东省茂名市妇幼保健院，广东茂名525000【摘要】目的：探讨早产儿缺氧缺血性脑病（以下简称HIE）并发低血钙是否需要补钙。方法:将29例患儿分补钙组10例与非补钙组19例。所有患儿均按HIE常规治疗，补钙组在此基础上,在出生窒息后24h内静滴10%葡萄糖酸钙2ml/kg.d,连用5〜7d。全部患儿均在发生窒息后即出生后立即抽静脉血查血钙等，同时对在治疗中第一•次出现抽搐者，待抽搐平稳后，立即抽静脉血复查血钙。结果:两组病人在治疗屮并发抽搐人数差异不显著（X2=0.03,
2、P>0.05）o且抽搐后血钙与入院时血钙差异亦不显著（t补钙二0.16,P>0.05,t非补钙二0.13,P>0.05）。同时非补钙组治愈率（68.42%）高于补钙组（30.0%）,且差异显著（X2=3.86,P>0.05），而神经系统后遗症的发生率非补钙组（21.05%）低于补钙组（60.0%）,差异亦显著（X2二4.53,P>0.05）。结论:早产儿IIIE并发低血钙时要慎重补钙。【关键词】早产儿；HIE；低血钙；治疗clinicalAnalysisonHypocalcemiainBematureNeonataiH
3、yporicisclemicEncephalopathyJIANGXia-hui,HOUChun-yang,LIANGHai-tao,etal(TheWomenandChildrenHealthCareHospitalofMaoming,GuangdongMaoming525000,china)Abstract:Objective:Toresearththehypocalcemiainprematureneonatalhypoxicischemicencephalopathy(IIIE)andthendecidetosupplycalciumorn
4、ot・Method:29casesprematureneonatewereassignedwithgroupofcalciumsupplement(10cases)andgroupofwithoutcalciumsupplements(19cases)・AlltheneonatewereadoptednormaltreatmentofHIE.Thepatientsingroupofcalciumsupplementwereintravnouswith10%calciumgluconatewiththedosageof2ml/kgonceadayfo
5、r5〜7dayscontinously.after24housofasphyxiaonthebasictreatmentofHIE・Alltheasphyxianeonatewereexaminedserumcalciumafterbirth・Theneonatevenousbloodsamplesweretakentoreexaminationserumcalciumafterconvulsion,whowereappearedconvulsionfirstlyduringthetreatment・Result:There，snosignific
6、antdifferenceinamountofconvulsionneonate(X2二0.03,p>0.05)betweentwogroups,moreverthere，snosignificantdifferenceinserumcalciumbetweenconvulsionandinchange・(t=0・16,p>0.05,t=0.13,p>0.05).Thecurerateingroupwithoutcalciumsupplements(68.42%)wassupplemnts(30.0%)・There，ssignif
7、icantdifference(X2二3・86,P<0.05)・Theoccurrencerateofsequelaeofnervous(21.05%)waslessthanthatingroupofcalciumsupplements(60.0%).There，ssignficantdifference(X2二4.53,P>0.05)・Conclusion:WeshouldsupplycalciumwithcautionwhentheprematureHIEcomplicatedwithhypocalcemia・Keywords:Pr
8、ematureneonate;HIE;Hypocalcemia;Treatmant为了探讨早产儿缺氧缺血性脑病(以下简称H
