摘要
目的探究不同起始浓度氧复苏方案对足月新生儿窒息抢救的效果。方法选取2018年7月~2019年12月我院收入治疗的60例足月新生儿窒息患儿的临床资料,按照起始浓度氧复苏的不同分为对照组与观察组,每组各30例。对照组采用21%氧浓度复苏治疗,观察组采用30%氧浓度复苏治疗。比较两组首次啼哭时间、自主呼吸时间、复苏抢救5 min时的心率、增氧复苏率、脑损伤发生率、复苏成功率、氧中毒发生率及治疗后的1、5、10 min的新生儿Apgar评分。结果两组脑损伤发生率、复苏成功率及复苏抢救5 min时的心率比较,差异无统计学意义(P>0.05);观察组增氧复苏率(3.33%)、氧中毒发生率(0.00%)低于对照组(26.66%、20.00%),差异有统计学意义(P<0.05);观察组首次啼哭时间、自主呼吸时间均短于对照组,差异有统计学意义(P<0.05);两组1 min Apgar评分比较,差异无统计学意义(P>0.05),而观察组5、10 min Apgar评分高于对照组,差异有统计学意义(P<0.05)。结论对足月新生儿窒息抢救治疗效果而言,采用30%氧浓度与21%氧浓度进行复苏治疗效果相当,且安全可靠,但采用30%氧浓度复苏治疗足月新生儿窒息可有效降低患儿脑损伤率,缩短患儿自主呼吸与首次啼哭时间,提高Apgar评分,值得临床推广应用。
Objective To explore the effect of different initial concentration oxygen resuscitation programs on the rescue of full-term neonatal asphyxia.Methods The clinical data of 60 cases of full-term neonatal asphyxia who received treatment in our hospital from July 2018 to December 2019 were selected,and they were divided into control group and observation group according to the difference of initial concentration oxygen resuscitation,with 30 cases in each group.The control group received resuscitation treatment with 21%oxygen concentration,and the observation group received resuscitation treatment with 30%oxygen concentration.The first crying time,spontaneous breathing time,heart rate at 5 min of resuscitation,oxygen resuscitation rate,brain injury rate,success rate of resuscitation,incidence of oxygen poisoning,and the newborn Apgar scores at 1,5 and 10 min after treatment were compared between the two groups.Results There were no significant differences in the incidence of brain injury,the success rate of resuscitation and the heart rate at 5 min of resuscitation between the two groups(P>0.05).The oxygen resuscitation rate(3.33%)and the incidence of oxygen poisoning(0.00%)in the observation group were lower than those in the control group(26.66%,20.00%),the differences were statistically significant(P<0.05).The first crying time and spontaneous breathing time in the observation group were shorter than those in the control group,with statistically significant differences(P<0.05).There was no significant difference in Apgar score at 1 min between the two groups(P>0.05),while the Apgar scores at 5 and 10 min in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion For the rescue treatment effect of full-term neonatal asphyxia,the 30%oxygen concentration resuscitation treatment and 21%oxygen concentration resuscitation treatment has the same effect and is safe and reliable,but 30%oxygen concentration resuscitation treatment can effectively reduce the rate of brain injury in patients,shorten the time of spontaneous breathing and first crying,and improve Apgar score,which is worthy of clinical application.
作者
刘翼昌
曾宪靖
刘秋英
周秀燕
赖日斌
LIU Yi-chang;ZENG Xian-jing;LIU Qiu-ying;ZHOU Xiu-yan;LAI Ri-bin(Department of Neonatology,the First People′s Hospital of Nankang District,Ganzhou City,Jiangxi Province,Ganzhou341400,China)
出处
《中国当代医药》
2020年第27期96-98,共3页
China Modern Medicine
基金
江西省赣州市指导性科技计划项目(GZ2019ZSF 346)。
关键词
21%氧浓度复苏治疗
30%氧浓度复苏治疗
足月新生儿窒息
效果
21%oxygen concentration resuscitation treatment
30%oxygen concentration resuscitation treat-ment
Full-term neonatal asphyxia
Effect
