新生儿缺氧缺血性脑病亚低温治疗临床管理专家共识（2026年）

中国医师协会新生儿科医师分会循证专业委员会

doi:10.7499/j.issn.1008-8830.2603030

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中国当代儿科杂志 ›› 2026, Vol. 28 ›› Issue (7) : 779-790. DOI: 10.7499/j.issn.1008-8830.2603030

标准·方案·指南

新生儿缺氧缺血性脑病亚低温治疗临床管理专家共识（2026年）

中国医师协会新生儿科医师分会循证专业委员会

作者信息 +

Expert consensus on the clinical management of therapeutic hypothermia for neonatal hypoxic-ischemic encephalopathy (2026)

Evidence-Based Medicine Group, Neonatologist Society, Chinese Medical Doctor Association

Author information +

文章历史 +

摘要

新生儿缺氧缺血性脑病（hypoxic‑ischemic encephalopathy, HIE）是导致新生儿死亡及远期神经发育障碍的重要疾病。亚低温治疗作为改善中、重度HIE新生儿预后的有效措施，其规范管理对改善患儿预后至关重要。中国医师协会新生儿科医师分会循证专业委员会基于国内外相关证据，采用证据推荐分级的评估、制订与评价方法，结合专家意见，围绕亚低温治疗临床管理的执行层面，制定了《新生儿缺氧缺血性脑病亚低温治疗临床管理专家共识（2026年）》。该共识聚焦医护人员关注的亚低温治疗临床实践中的14个关键问题，形成了22条推荐意见，旨在为HIE患儿亚低温的临床管理提供规范、可操作的实践参考与流程指引，促进医护一体化协作，改善患儿预后。

Abstract

Hypoxic-ischemic encephalopathy (HIE) is a major cause of neonatal death and long-term neurodevelopmental impairment. Therapeutic hypothermia is an effective intervention to improve the prognosis of neonates with moderate to severe HIE, and its standardized management is crucial for optimizing outcomes. Based on domestic and international evidence and expert opinion, the Evidence-Based Medicine Group, Neonatologist Society, Chinese Medical Doctor Association developed the "Expert consensus on the clinical management of therapeutic hypothermia for neonatal hypoxic-ischemic encephalopathy (2026)" using the Grading of Recommendations Assessment, Development, and Evaluation approach. The consensus focuses on 14 key clinical questions related to therapeutic hypothermia that are of concern to medical staff and formulates 22 recommendations. It aims to provide standardized and practical guidance and workflow for the clinical management of therapeutic hypothermia in neonates with HIE, promote integrated collaboration between physicians and nurses, and improve patient outcomes.

导出引用

中国医师协会新生儿科医师分会循证专业委员会. 新生儿缺氧缺血性脑病亚低温治疗临床管理专家共识（2026年）[J]. 中国当代儿科杂志. 2026, 28(7): 779-790 https://doi.org/10.7499/j.issn.1008-8830.2603030

Evidence-Based Medicine Group, Neonatologist Society, Chinese Medical Doctor Association. Expert consensus on the clinical management of therapeutic hypothermia for neonatal hypoxic-ischemic encephalopathy (2026)[J]. Chinese Journal of Contemporary Pediatrics. 2026, 28(7): 779-790 https://doi.org/10.7499/j.issn.1008-8830.2603030

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