论文部分内容阅读
目的评价在喉镜直视下用一次性吸痰管气管插入清理羊水Ⅲ度粪染且无活力的足月新生儿呼吸道的临床效果,验证羊水胎粪污染与羊膜腔感染有无相关性。方法选择2010年11月-2012年9月产科分娩的羊水Ⅲ度粪染且无活力的足月新生儿共120例患儿,分为试验组、对照组各60例及羊水清的正常新生儿为羊水清组60例,比较两组完成一次吸引所需时间、出生5min时Apgar评分、复苏囊-面罩正压通气率、再次气管插管率等。结果试验组完成一次吸引所需时间(16.88±2.11)s,对照组(20.70±3.02)s;试验组并发胎粪吸入综合征(MAS)用氧时间(54.25土21.23)h,对照组(99.75土36.87)h;试验组再次气管插管率及MAS发生率均低于对照组,差异有统计学意义(P<0.05);两组出生5min时Apgar评分、胸外按压率等差异无统计学意义;试验组与羊水清组中羊水IL-6含量、炎性细胞浸润,差异均无统计学差异。结论在喉镜直视下用一次性吸引管吸引气道可以更有效地清理气道,减少再次气管插管率,并能减少MAS的发生率;羊水粪染与羊膜腔感染无相关性。
Objective To evaluate the clinical effect of using disposable sputum aspiration tracheal tube in laryngoscope undergoing direct laryngoscopy to clear the third-degree meconium-stained and non-viable neonatal respiratory tract of amniotic fluid, and to verify the correlation between meconium-stained amniotic fluid contamination and amniotic cavity infection. Methods A total of 120 full-term newborn infants with Ⅲ degree of meconium-stained amniotic fluid in obstetric delivery between November 2010 and September 2012 were enrolled in this study. They were divided into trial group, control group, 60 cases and amniotic fluid normal newborn 60 cases of amniotic fluid clearance group, comparing the two groups to complete a time of attraction, Apgar score 5min after birth, resuscitation sac - mask positive pressure ventilation rate, again tracheal intubation rate. Results The time required to complete the first draw in the experimental group was (16.88 ± 2.11) s and that in the control group (20.70 ± 3.02 s). The mean duration of oxygen inhalation time (54.25 ± 21.23 h), control group (99.75 Soil 36.87) h; test group re-tracheal intubation rate and MAS incidence were lower than the control group, the difference was statistically significant (P <0.05); Apgar score, chest compression rate was no statistical difference Significance; amniotic fluid IL-6 content, inflammatory cell infiltration in experimental group and amniotic fluid clearance group, no significant difference. Conclusions The use of a disposable suction tube to attract the airway under direct laryngoscopy can more effectively clear the airway, reduce the rate of re-tracheal intubation, and reduce the incidence of MAS. There is no correlation between meconium-stained amniotic fluid infection and meconium-stained amniotic fluid.