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目的 :研究早期给氧预防新生儿缺氧缺血性脑病的疗效。方法 :将12 0例临产后的初产妇随机分为研究组和对照组 ,各 6 0例。研究组在第 1、 2、 3(新生儿 )产程施行氧疗 ,并与传统的宫内窘迫或窒息后给氧对照。结果 :研究组分娩时限明显短于对照组 (P <0 0 1) ,新生儿Apgar评分差异有显著性 (P<0 0 0 5 ) ;母婴血氧饱和度差值变化差异有显著性 (P <0 0 0 1) ;母血、脐动脉、脐静脉血气分析及新生儿HIE发病率差异有显著性 (P <0 0 1)。结论 :此疗法简便 ,具有科学性、实用性 ,值得推广应用。
Objective: To study the effect of early oxygen administration in preventing neonatal hypoxic-ischemic encephalopathy. Methods: 120 cases of primipara after labor were randomly divided into study group and control group, 60 cases each. The study group performed oxygen therapy on days 1, 2, and 3 (newborn) and compared with conventional intrauterine distress or asphyxial oxygen administration. Results: The delivery time of the study group was significantly shorter than that of the control group (P <0.01), and Apgar score of neonates was significantly different (P <0.05). The differences of maternal and infant oxygen saturation were significant P <0.01). There was a significant difference in blood gas analysis of maternal blood, umbilical artery and umbilical vein and the incidence of neonatal HIE (P <0.01). Conclusion: This therapy is simple, scientific and practical, which is worth popularizing and applying.