丹参治疗婴儿晚发型维生素K缺乏颅内出血的疗效观察
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Curative effect of Danshen in treatment of infant with late vitamin K deficiency induced intracranial hemorrhage
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    【摘要】 目的 观察丹参注射液辅助治疗婴儿晚发型维生素K缺乏性颅内出血的临床疗效。方法 选择2012年2月~2015年11月收治于我院外科监护室的72例晚发型维生素K缺乏性颅内出血婴儿为研究对象,随机分为对照组及观察组,每组各36例。对照组给予补充维生素K1,降颅压、纠正贫血及对症支持等治疗,观察组在对照组基础上加用丹参注射液治疗。治疗7天后,比较两组临床疗效和治疗前后血清NSE、S100β以及TNFα、IL6水平的变化情况。结果 观察组的死亡率和后遗症发生率分别为2222%、2857%;对照组分别为556% 、882%,两组比较差异有统计学意义(2=4181、4103,P<005)。治疗前两组患儿血浆NSE、S100β及TFNα、IL6 水平无差异(均P>005),治疗后上述指标均较治疗前降低(均P<001)。治疗后观察组患儿血浆NSE、S100β及TFNα、IL6 分别为(909±224) μg /L 、(18177±9045) ng/L、(1693±736) ng/L、(2913±863) ng/L,低于对照组,差异有统计学意义(均P<005)。结论 在常规治疗基础上加用丹参注射液能有效减轻晚发型维生素K缺乏性颅内出血患儿炎性反应,改善脑损伤,提高临床疗效。

    Abstract:

    【Abstract】 Objective To observe the effect of Danshen in treatment of infant with late vitamin K deficiency induced intracranial hemorrhage and investigate its mechanism. Methods 72 infant with late vitamin K deficiency induced intracranial hemorrhage who hospitalized were enrolled in the study. The children were randomly divided into the control group (36 cases) and the observation group (36 cases). The control group was treated with vitamin K1, reducing the intracranial pressure and correcting anaemic condition. The observation group was given Danshen and the treatment of the control group. The levels of neuron specific enolase (NSE), S100βprotein, TNFα and IL6 were detected at admission and checked again seven days after treatment. The changes of the above indicators and the clinical curative effect were compared before and after therapy.Results The incidence of mortality and sequelae of the control group (2222% and 2857%) were statistically different from that of the observation group (556% and 882%)(P<005). The levels of NSE, S100β protein, TNFα and IL6 in each group after treatment showed no significant difference from that before treatment (P>005). All the observed indicators of the two groups were significantly improved after treatment (all P<001 ). Seven days after treatment, the levels of NSE, S100β, TFNα and IL6 in observation group were statistically different from that of control group(P<005).Conclusion On the basis of conventional therapy, Danshen can effectively alleviate the systemic inflammatory response in children with late vitamin K deficiency induced intracranial hemorrhage, reduce brain damage and improve the clinical efficacy.

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  • 在线发布日期: 2017-05-22
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