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目的:探讨不同浓度的氧气在新生儿窒息抢救过程中的效果。方法:选择2013年7月-2014年7月在乐昌市妇幼保健院产科出生的40例窒息新生患儿,将其分为高浓度氧复苏组(对照组)和低浓度氧复苏组(观察组),记录1 min、5 min和10 min的Apgar评分、检测生后10 min的血气p H值和氧分压值及经皮测氧饱和度。结果:两组患儿1 min、5 min和10 min的Apgar评分,出生后10 min的血气p H值,皮测氧饱和度比较,差异无统计学意义(P>0.05),10 min的血气分析结果观察组的患儿的血气氧分压的值明显低于对照组,组间比较,差异具有统计学意义(P<0.05)。结论:对新生儿窒息进行抢救时,采用不同的氧浓度来进行抢救的效果是基本上相同的,不同之处在于使用较低氧浓度的氧气可以一定程度上减弱血氧分压,有利于减少新生儿高氧血症的发生。
Objective: To investigate the effect of different concentrations of oxygen in resuscitation of neonatal asphyxia. Methods: From July 2013 to July 2014, 40 neonates with asphyxia who were born in obstetrics and gynecology department of Lechang MCH were divided into high oxygen resuscitation group (control group) and low oxygen resuscitation group Group). Apgar scores at 1, 5 and 10 min were recorded. The p H value, oxygen partial pressure and percutaneous oxygen saturation were measured 10 min after birth. Results: The Apgar scores at 1 minute, 5 minutes and 10 minutes, p H value at 10 minutes after birth and oxygen saturation in the skin between the two groups showed no significant difference (P> 0.05). The blood gas of 10 minutes Analysis results The observation group of children with blood gas oxygen partial pressure was significantly lower than the control group, the comparison between groups, the difference was statistically significant (P <0.05). Conclusions: The effect of resuscitation on neonatal asphyxia with different oxygen concentrations is basically the same, except that the use of oxygen with a lower oxygen concentration can reduce the partial pressure of oxygenus to a certain extent, which is beneficial to reduce Neonatal hypervolemia.