摘要
目的探讨不同通气治疗方案对新生儿窒息复苏的临床疗效分析。方法选取广元市妇幼保健院2016年3月至2019年3月发生窒息的86例新生儿为研究对象,随机分为观察组43例(气管插管正压通气)、对照组43例(复苏囊面罩正压通气)。对比2组患儿的通气时间、起效时间、复苏成功率、5 min Apgar评分以及复苏前后血气指标,以评价其临床疗效。结果经两种正压通气治疗后,观察组与对照组相比所需通气时间、起效时间均明显缩短(P<0.05)。观察组复苏成功率为95.38%(41/43),对照组复苏成功率为86.05%(37/43),差异有统计学意义(P<0.05)。且观察组5 min Apgar评分和各项血气指标显著优于对照组(P<0.05)。结论气管插管正压通气是一种快速、有效复苏窒息新生儿的治疗方法,值得在临床中推广和学习。
Objective To explore the clinical effect of different ventilation schemes on neonatal asphyxia resuscitation.Methods A total of 86 newborns with asphyxia from March 2016 to March 2019 from Guangyuan Maternal and Child Care Service Center were randomly divided into observation group (n=43) and control group (n=43). The ventilation time, effective time, the success rate of resuscitation, 5 min Apgar score and indexes of blood gas were compared between the two groups in order to evaluate the clinical effect.Results After two kinds of positive pressure ventilation treatment, the ventilation time and onset time of the observation group were significantly shorter than those of the control group (P<0.05). The success rate of resuscitation in the observation group was 95.38% (41/43) and that in the control group was 86.05% (37/43), the difference was statistically significant (P<0.05). The difference was statistically significant, and the 5 min Apgar score and indexes of blood gas in the observation group were significantly better than those in the control group (P<0.05).Conclusions Positive pressure ventilation with endotracheal intubation is a rapid and effective method for resuscitation of asphyxiated newborns, which is worth popularizing and learning in clinic.
作者
李亚婷
韩雪梅
马楠
Li Yating;Han Xuemei;Ma Nan(Department of Neonatology,Guangyuan Maternal and Child Care Service Center,Guangyuan 628000,China)
出处
《国际呼吸杂志》
2020年第17期1329-1332,共4页
International Journal of Respiration
关键词
窒息
新生儿
正压通气
气管插管
复苏
Asphyxia,neonatorum
Positive pressure ventilation
Tracheal intubation
Resuscitation
作者简介
通信作者:李亚婷,Email:243109661@qq.com。
