国际医药卫生导报2016，Vol.22Issue(15)：2217-2220,4.DOI:10.3760/cma.j.issn.1007-1245.2016.15.002
早产儿轻症脑白质损伤穴位抚触治疗前后影像学分析
Imaging analysis of mild cerebral white matter injury before and after treatment of acupoint touch in premature infants
摘要
Abstract
Objective To investigate the imaging changes and clinical significance of cerebral ultrasound and magnetic resonance imaging (MRI) in mild cerebral white matter injury of premature infants before and after treatment of acupoint touch.Methods Premature infants diagnosed as mild cerebral white matter injury in our hospital were divided into acupoint touch group and control group with 15 cases in each group.In the early stage,daily touching intervention on premature infants were given by parents after training.Premature infants underwent cerebral ultrasound in correct gestational age of 3 months,6 months,9 months,and 1 year,compared with MRI examination in 3 months and 1 year.In addition clinical results were followed up.Results Most of the cerebral white matter injury in premature infants was class Ⅰ and class Ⅱ.Cerebral ultrasound was unusual:small cysts were found in 3-month-premature infants,local ventricular expansion and deepening brain circuitry were found in those of 6 months and 9 months in both groups,however,control group presented more obviously.Since the anterior fontanelle was nearly closed in premature infants of 1 year old,ultrasonic examination was waived.MRI examination was abnormal:small cysts were found in premature infants of 3 months,ventricle enlargement and reduced ventricle surrounding white matter were found in premature infants of 1 year old in both two groups.Besides,the thinning of corpus callosum was found in control group.Intracranial abnormal changes in premature infants showed by cerebral ultrasound or MRI had corresponding clinical manifestation during clinical followup.Conclusions Cerebral ultrasound is highly sensitive,intuitionistic,repeatable,with inexpensive price in premature infants with cerebral white matter injury.It can diagnose this disease in early and middle stage,as well as evaluate the intracranial improvement after intervening therapy.MRI has a characteristic performance in the advanced stage,therefore the late follow-up and assessment is available.Early interventional treatment of acupoint touch can improve the prognosis in premature infants with mild cerebral white matter injury.关键词
早产儿/脑白质损伤/颅脑超声/磁共振成像/抚触Key words
Premature infants/White matter damage/Cerebral ultrasound/Magnetic resonance imaging/Acupoint touch引用本文复制引用
梁燕,魏青,张遇乐,陈晓文,戴津,肖伟强,宁书尧..早产儿轻症脑白质损伤穴位抚触治疗前后影像学分析[J].国际医药卫生导报,2016,22(15):2217-2220,4.基金项目
2013年广东省人口和计划生育委员会科研项目(20133092) （20133092）
Population and Family Planning Commission Research Project in Guangdong Province in 2013 (20133092) （20133092）
