预案管理在新生儿重度窒息抢救及护理中的效果分析

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目的对新生儿重度窒息抢救与护理中预案管理的应用效果进行评价分析。方法将2014~2015年我院收治的49例重度窒息新生儿随机分为采取预案管理+传统复苏抢救护理的观察组与单纯采取传统复苏抢救护理的对照组,将两组抢救成功率与救治前后Apgar评分作以比较。结果观察组新生儿抢救成功率为92.0%(高于对照组75.0%),组间差异显著具备统计学意义(P<0.05);复苏抢救前观察组与对照组新生儿Apgar评分分别为(2.16±0.81)分、(2.27±0.77)分,差异无统计学意义(P>0.05),复苏抢救后观察组新生儿Apgar评分为(8.41±2.74)分高于对照组(5.84±1.07)分,组间差异有统计学意义(P<0.05)。结论在重度窒息新生儿抢救中实施预案管理不仅能显著提高抢救成功率同时提高新生儿Apgar评分,预案管理在重度窒息新生儿抢救中发挥着积极的作用。 Objective To evaluate and evaluate the application effect of the plan management in neonatal severe asphyxia rescue and nursing. Methods 49 newborns with severe asphyxia admitted from 2014 to 2015 in our hospital were randomly divided into two groups: observation group taking preplan management and traditional resuscitation and rescue and nursing group receiving traditional resuscitation; Apgar score for comparison. Results The neonatal resuscitation success rate in the observation group was 92.0% (75.0% higher than that in the control group), and there was significant difference between the two groups (P <0.05). Apgar scores in neonates before and after rescue resuscitation were (2.16 ± 0.81) points and (2.27 ± 0.77) points respectively. There was no significant difference between the two groups (P> 0.05). After resuscitation, Apgar score of the neonatal observation group was (8.41 ± 2.74) points higher than that of the control group (5.84 ± 1.07) There was significant difference between groups (P <0.05). Conclusions The implementation of plan management in resuscitation of severe asphyxia neonatorum not only can significantly improve the success rate of resuscitation but also improve Apgar score of neonates, and plan management plays a positive role in the rescue of neonatal asphyxia.
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