摘要
目的探讨研究对发生窒息的新生儿进行气管插管正压通气治疗的临床效果。方法择取发生窒息的新生儿98例展开分析,患儿收治时间为2014年7月—2017年11月,按照随机数字表法将98例新生儿随机分为对照组和观察组,各49例,对照组患儿接受复苏囊面罩进行正压通气治疗,观察组患儿接受气管插管正压通气治疗,比较两组治疗后的具体效果。比较两组治疗后患儿通气时间、起效时间、复苏时间、Apgar评分及复苏成功率。结果组间在通气时间、起效时间及复苏时间上比较,观察组分别为(7.54±1.21)s、(34.18±10.54)s、(142.94±42.18)s,对照组分别为(9.86±1.37)s、(50.67±16.37)s、(198.31±53.62)s,均比对照组显著更短,差异有统计学意义(t=8.885、5.929、5.681,P<0.05);组间在Apgar评分及住院时间上比较,观察组Apgar评分为(8.92±0.58)分,对照组为(7.21±0.73)分,观察组比对照组显著更高,差异有统计学意义(t=12.838,P<0.05);观察组95.92%的复苏成功率也显著高于对照组81.63%的复苏成功率,差异有统计学意义(χ~2=5.020,P<0.05)。结论临床对发生窒息的新生儿进行气管插管正压通气治疗能够促进患儿恢复效率提高,显著改善Apgar评分,提高复苏成功率,值得推广。
Objective To investigate the clinical effect of tracheal intubation positive pressure ventilation in neonates with asphyxia.Methods 98 cases of neonates with asphyxia were selected. The time of admission was from July 2014 to November 2017. 98 newborns were randomly divided into control group and observation group according to random number table method. The control group re-ceived positive pressure ventilation for resuscitation cyst mask, and the observation group received tracheal intubation positive pres-sure ventilation treatment, comparing the specific effects of the two groups after treatment. Ventilation time, onset time, recovery time,Apgar score, and recovery success rate were compared between the two groups. Results Compared with the ventilation time, onset time and recovery time, the observation group was（7.54 ±1.21）s,（34.18±10.54）s,（142.94±42.18）s, and the control group was（9.86 ±1.37）s,（50.67±16.37）s,（198.31±53.62）s, were significantly shorter than the control group（t=8.885,5.929,5.681, P〈0.05）; comparison between Apgar score and hospitalization time between groups was（8.92 ±0.58）points in the experimental group and（7.21±0.73）points in the control group. The observation group was significantly higher than the control group, the difference was statistically significant（ t =12.838, P〈0.05）. The success rate of 95.92% in the observation group was also significantly higher. The success rate of resuscitation was 81.63% in the control group,the difference was statistically significant（χ^2=5.020, P〈0.05）. Conclusion Clinically, tracheal intubation positive pressure ventilation in neonates with asphyxia can promote the recovery efficiency of children, significantly improve the Apgar score, and improve the success rate of recovery. It is worth promoting.
作者
张锡峰
李涛
ZHANG Xi-feng;LI Tao(Department of Obstetrics,Jinan Third People＇s Hospital,Jinan,Shandong Province,250132 China)
出处
《世界复合医学》
2018年第3期72-73,92,共3页
World Journal of Complex Medicine
关键词
窒息
新生儿
气管插管
正压通气治疗
Asphyxia
Neonatal
Tracheal intubation
Positive pressure ventilation treatment
