目的对比分析CT及核磁共振成像(MRI)诊断新生儿缺氧缺血性脑病的临床效果。方法 67例新生儿缺氧缺血性脑病患儿,均进行CT及MRI诊断。对比两种方法检测结果及患儿颅内出血诊断情况。结果 MRI诊断新生儿缺氧缺血性脑病检出率(100.00%)高于CT(92.54%)(χ2=5.194,P<0.05)。CT诊断基底节区出血检出率(1.49%)低于MRI(10.45%),蛛网膜下腔出血检出率(16.42%)高于MRI(1.49%)(χ2=4.786、9.153,P<0.05)。结论新生儿缺氧缺血性脑病诊断中,MRI检查效果显著,对基底节区出血检出率较高,但CT检查对蛛网膜下腔出血检出率较高。 Objective To compare the clinical effects of CT and magnetic resonance imaging (MRI) in the diagnosis of neonatal hypoxic-ischemic encephalopathy. Methods 67 cases of neonates with hypoxic-ischemic encephalopathy were diagnosed by CT and MRI. Comparison of two methods test results and diagnosis of intracranial hemorrhage in children. Results The detection rate of neonatal hypoxic-ischemic encephalopathy (100.00%) was higher than that of CT (92.54%) (χ2 = 5.194, P <0.05). CT detection of basal ganglia hemorrhage detection rate (1.49%) was lower than MRI (10.45%), subarachnoid hemorrhage detection rate was 16.42% higher than MRI (χ2 = 4.786,9.153, P <0.05 ). Conclusion In the diagnosis of neonatal hypoxic-ischemic encephalopathy, the results of MRI examination are obvious, and the detection rate of hemorrhage in basal ganglia is high. However, the detection rate of CT in subarachnoid hemorrhage is higher.