摘要
目的研究新生儿生后脐动脉血气参考值,以指导早产儿临床对窒息的诊断及处理。方法对在本院分娩的398例足月新生儿生后1 min内行脐动脉血血气测定,并分析其与Apgar评分、脏器损伤之间的相关性。结果随着pH值的降低,新生儿脏器损伤发生率逐渐增高。脐动脉血pH、Apgar分别与缺氧性脏器损伤呈显著负相关,pH、Apgar值愈低,脏器损伤的发生率愈高。结论低Apgar评分结合脐动脉血pH<7.0有助于诊断新生儿窒息。血气分析结果为诊断早产儿窒息的主要指标之一。
Objective To study the umbilical arterial blood gas reference values of newborns and to guide diagnosis and treatment of the premature infants.Methods Three hundred and ninety-eight full-term newborns in our hospital were included in the study.Their umbilical arterial blood gas value was measured within 1 min after birth.The correlation among the umbilical arterial blood gas value,Apgar score and organ damage was analyzed.Results With the lower pH value,the incidence of neonatal organ injury gradually increased.pH value of umbilical arterial blood and Apgar were significantly and negatively correlated with hypoxic organ damage.The lower the pH and Apgar values were,the higher the incidence of organ damage was.Conclusion Low Apgar score with umbilical arterial pH less than 7.0 help the diagnosis of neonatal asphyxia.Blood gas analysis is one of the key indicators for the diagnosis of premature infants.
出处
《实用临床医药杂志》
CAS
2012年第3期106-107,109,共3页
Journal of Clinical Medicine in Practice
关键词
婴儿
早产
APGAR评分
脐动脉血
血气分析
窒息
infant,premature； Apgar score； umbilical artery； blood gas analysis； suffocation；
