更昔洛韦联合丙种球蛋白治疗加早期干预对新生儿巨细胞病毒感染脑损伤的影响
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Therapeutic effects of ganciclovir combined with gamma globulin and early intervention on neonatal Cytomegalovirus infection-induced brain injury
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    目的:探讨更昔洛韦联合丙种球蛋白治疗加早期干预对新生儿巨细胞病毒感染(CMVI)脑损伤预后的影响。方法:97例CMVI脑损伤患儿分干预组44例(甲组),未干预组53例(乙组),并以正常足月儿30例(丙组)为对照。甲、乙两组的基本情况无明显差异(P均 > 0.05)。甲组予更昔洛韦联合丙种球蛋白治疗加早期干预。结果: 18个月时身长、体重、头围、智力发育指数(MDI)、心理运动发育指数(PDI)甲组高于乙组(P < 0.01),运动落后、听力障碍、语言落后甲组均低于乙组(P < 0.01)。结论:更昔洛韦联合丙种球蛋白治疗及早期干预可以改善新生儿CMVI脑损伤的预后。

    Abstract:

    Objective:To explore the therapeutic effects of ganciclovir combined with gamma globulin and early intervention on neonatal cytomegalovirus infection(CMVI)-induced brain injury. Methods:Ninety-seven cases with CMVI brain injury were divided into 2 groups. Forty-four cases received gonciclovir combined with gamma globulin and early intervention(group A) and 53 cases received no therapy(group B). Thirty normal full term infants(group C) served as control. There was no significant difference between group A and B in ordinary conditions(P > 0.05). Results:Body length, weight, head circumference, mental developmont index(MDI) and psychomotor development index(PDI) in group A were higher than those in group B(P < 0.05). Retardation of movement, audition and language disability of group A were lower than those of group B respectively(P < 0.05). Conclusion:Ganciclovir combined with gamma globulin and early intervention can improve the prognosis of CMVI-induced brain injury in infants.

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王崇伟,许植之,周晓玉,赵卫华,蒋小镛,毛红霞.更昔洛韦联合丙种球蛋白治疗加早期干预对新生儿巨细胞病毒感染脑损伤的影响[J].南京医科大学学报(自然科学版),2007,(4):326-328

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  • 收稿日期:2006-10-08
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