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对比分析开展新法ABCDE复苏前12个月、后12个月共计5223例有关临床因素,发现开展新法复苏后12个月比前12个月新生儿窒息发生数由5.04%(142/2818)下降到4.75%(110/2405)。早期新生儿患病数由20.47%(577/2818)下降到15.17%(365/2405),因产儿亡率由17.7%。(50/2818)下降到9.5‰(23/2405),且后二者相比P值分别小于0.01及0.05,显示严格按照ABCDE方案实施新生儿娩出的复苏对新生儿有良好的近期影响。本文还讨论了新旧复苏方法的主要不同点及新法复苏对新生儿这些良好近期影响的关键是保持呼吸造通畅,建立呼吸及维持循环首三步、阻止或缩短新生地缺氧。
In the 12 months before and 12 months after the ABCDE resuscitation, 5223 cases of clinical factors were compared and analyzed. The number of neonatal asphyxia in the 12 months after the resuscitation was decreased from 5.04% (142/2818) to 12 months 4.75% (110/2405). The prevalence of early neonatal morbidity decreased from 20.47% (577/2818) to 15.17% (365/2405), with an infant mortality rate of 17.7%. (50/2818) to 9.5 ‰ (23/2405), and the latter P values were less than 0.01 and 0.05, respectively, indicating that the resumption of neonatal delivery performed in strict accordance with the ABCDE regimen had a good recent impact on newborns . The paper also discusses the main differences between the old and new recovery methods and the key to these good near-term effects of the new recovery on the newborn. It is important to keep the respiratory tract unobstructed, establish breathing and maintain the first three steps of circulation to prevent or shorten nascent hypoxia.