The value of cranial ultrasound in detecting blood flow parameters of the middle cerebral artery and the douglas artery in assessing the condition of neonates with hypoxic-ischemic encephalopathy
Objective:Investigating the value of cranial ultrasound in detecting blood flow parameters of the middle cerebral ar-tery and the douglas artery in assessing the condition of neonates with hypoxic-ischemic encephalopathy.Methods:Sixty cases each were taken from the newborns with hypoxic-ischemic encephalopathy diagnosed and healthy newborns delivered in our hos-pital from March 2021 to May 2023 as the subjects of this study,respectively,and were named as the case group and the con-trol group,respectively,and the two groups were subjected to cranial ultrasonography to obtain the blood flow parameters of the middle cerebral artery and the doudoune arteries at 24 h,48 h,and 72 h after birth.The case group was divided into mild group,moderate group,and severe group according to the seriousness of the disease,and the effectiveness of using ROC curve analysis to diagnose hypoxic-ischemic encephalopathy and evaluate the severity of hypoxic-ischemic encephalopathy by analyzing blood flow parameters of the middle cerebral artery and lenticular artery.Results:The Vs and Vd of the middle cerebral artery and the bean-stripe artery at 24 h,48 h and 72 h after birth were slower in the case group than in the control group,and the RI than in the control group(P＜0.05).The differences in Vs,Vd and RI of the middle cerebral artery and arterioles at 24 h,48 h and 72 h after birth were statistically significant in the case group with different severity of the disease(P＜0.05).The ROC curve analysis showed that the blood flow parameters of the middle cerebral artery and arterioles were effective in the di-agnosis of hypoxic ischemic encephalopathy and in the assessment of the severity of hypoxic ischemic encephalopathy(P＜0.05).Conclusion:Craniocerebral ultrasound detection of blood flow parameters of middle cerebral artery and lentistriate ar-tery has good diagnostic efficacy in the diagnosis and severity assessment of neonatal hypoxic-ischemic encephalopathy,and can be used as a basis for the evaluation of neonatal neurobehavioral developmental abnormalities.
万方数据
维普
