脐动脉血气分析在新生儿救治中的价值研究
桂逢春
【期刊名称】《中外健康文摘》 【年(卷),期】2013(000)045
【摘要】目的：评价脐动脉血气分析在新生儿救治中的价值。方法对2011年10月年至2013年10月在什邡市妇幼保健院救治的418名新生儿同时进行Apgar评分及脐动脉血气分析，随机抽取200名新生儿根据Apgar评分<7分作为抢救依据为对照组，218名新生儿根据脐动脉血气分析PH<7.2作为救治依据为研究组,评价两组病例诊断新生儿窒息发病率，救治成功率，1周内围产儿不良结局发生率（新生儿死亡、缺血缺氧性脑病、住院时间超过1周）纳入不良结局范畴。结果对照组100名新生儿中根据Apgar评分<7分诊断新生儿窒息16例，发病率8%，救治成功14例，成功率87.5%，1例因重度窒息死亡，1例因诊断缺血缺氧性脑病家属放弃治疗死亡，1周内不良结局发生率31.3%（2例新生儿死亡，3例住院时间超过1周），研究组根据脐动脉血气分析PH<7.2诊断新生儿窒息20例，发病率9.17%，救治成功18例，成功率90%，1例因新生儿颅内出血死亡，1例因胎盘重症早剥导致严重失血死亡，1周内不良结局发生率25%（2例新生儿死亡，3例住院时间超过1周），两组病例在诊断新生儿窒息有显著差异P<0.05，救治成功率无明显差异，P>0.05，1周内不良结局发生率有显著差异，P<0.01。结论脐动脉血气分析比Apgar评分在诊断新生儿窒息上更客观可靠，救治后导致新生儿1周内不良结局发生率更低，临床价值更大。%Objective: To evaluate the value of umbilical arterial blood gas analysis in the treatment of newborns. Methods: Oct.
2011 to 2013 years carried Apgar scores and umbilical arterial blood gas analysis while Shifang MCH treatment of 418 newborns, 200 newborns were randomly selected according to Apgar score <7 points as the basis for rescue the control group, 218 newborns umbilical arterial blood gas analysis in accordance with PH <7.2 as a basis for the study of the treatment groups, evaluated two groups of patients the incidence of neonatal asphyxia diagnosis, treatment success rate, 1 week incidence of perinatal adverse outcomes (neonatal death , hypoxic ischemic encephalopathy, length of stay more than one week into the scope of adverse outcomes). Results: 100 newborns in the control group according to Apgar score <7 points diagnosis of neonatal asphyxia in 16 cases, the incidence rate of 8%, 14 cases of successful treatment, the success rate was 87.5%, one case of death due to severe asphyxia, 1 patient with the diagnosis of ischemic hypoxic encephalopathy families abandon treatment died a week incidence of adverse outcomes of 31.3% (2 cases of neonatal deaths, three cases of hospital stay more than one week), according to research group umbilical arterial blood gas analysis PH <7.2 diagnosis of 20 cases of neonatal asphyxia incidence of 9.17%, 18 cases of successful treatment, the success rate of 90%, 1 patient died of intracranial hemorrhage, one case of severe placental abruption due to severe blood loss leading to death, the incidence of adverse outcomes within 1 week of 25% (2 cases of newborn child deaths, three
cases of hospital stay more than one week), two groups of patients in the diagnosis of neonatal asphyxia were significantly different P <0.05, no significant difference in treatment success rate, P> 0.05,1 weeks, the incidence of adverse outcomes were significantly different, P <0.01. Conclusion: The umbilical arterial blood gas analysis Apgar score than on more objective and reliable diagnosis of neonatal asphyxia, after a week of treatment lead to adverse neonatal outcomes lower incidence of greater clinical value. 【总页数】2页(41-42)
【关键词】脐动脉血气分析;Apgar评分;新生儿救治;临床价值 【作者】桂逢春
【作者单位】四川省什邡市妇幼保健院 618400 【正文语种】中文 【中图分类】R722.1 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_chinese-foreign-health-digests_thesis/0201256067341.html 【相关文献】
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脐动脉血气分析在新生儿救治中的价值研究
