儿科用药专栏
ZHANG Wei;LI Yuanxiu;LI Xianqing;ZHAI Min;LIAO Tingyan
2003, 22(5): 303-306.
Objective:To study the mechanism of HIE on neonates and the change of cerebral hemodynamics, and to explore the mechanism and effects of scopolamine in treating HIE.Method:Ultrasonography and doppler were used to determine the indices of hemodynamics of ACA、PCA and MCA by imaging 51 neonates with HIE and 48 cases of nonHIE infants at the ages of 3rd day and 7th day after birth; to determine the parameters of hemodynamics by imaging 51 neonates with HIE who were given scopolamine and 60 neonates with HIE who were not. Results:At the age of 3 days, the cerebral blood flowing speed of HIE group was generally lower than that of nonHIE group, and the most obvious reduction occurred in ACA on both sides(P<0.05) and PCA on the left(P<0.01). At the age of 7 days, the flowing speed of HIE group recovered, only the speed of left PCA was obviously lower that of than nonHIE group. And the parameters of ACA, MCA, PCA in hemodynamics were improved more obviously than those of the nonscopolamine group. According to the results of NBNA and IQ in scopolamine group, HIE recovered more quickly and earlier than the nonscopolamnie group. Conclusion:The flowing speeds of HIE infants’ ACA, MCA, PCA are generally lowered, which is inconsistent with the injury parts of HIE. Therefore, the change of cerebral hemodynamics of HIEinfants is one of the pathological mechanisms in HIE. Scopolamine can obviously improve the cerebral hemodynamics of HIE infants, which means it can prevent cerebral ischemia injury and cerebral hemodynamics from viciously circling. Scopolamine favours the recovery of cerebral functions at the key age period