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目的:观察食管引流型喉罩(PLMA)对重度窒息新生儿复苏的可行性、有效性和安全性,比较PLMA与气管插管在重度窒息新生儿复苏中的临床效果。方法:将我院171例重度窒息新生儿随机分为观察组96例和对照组75例,分别应用PLMA和气管插管进行复苏,比较两种方法的复苏效果。结果:观察组PLMA插入时间、起效时间、气道损伤发生率及一次性成功率均明显优于对照组(P<0.05);两组复苏1 min、5 min时的Sp02、Apgar评分、Pa02、PaC02及pH值均明显优于复苏前(P<0.05),但两组间同一时间点无明显差异(P>0.05)。结论:食管引流型喉罩在重度窒息新生儿复苏中有较好的临床效果,操作简单,且气道损伤率低,建议临床推广应用。
Objective: To observe the feasibility, efficacy and safety of esophageal drainage laryngeal mask (PLMA) in resuscitation of neonates with severe asphyxia, and to compare the clinical effects of PLMA and tracheal intubation in resuscitation of neonates with severe asphyxia. Methods: 171 neonates with severe asphyxia in our hospital were randomly divided into observation group (96 cases) and control group (75 cases). PLMA and tracheal intubation were used respectively for resuscitation. The resuscitation effects were compared between the two methods. Results: The insertion time, the onset time, the incidence of airway injury and the one-off success rate of PLMA in the observation group were significantly better than those in the control group (P <0.05). Sp02 and Apgar scores of Pa02 , PaCO2 and pH values were significantly better than before resuscitation (P <0.05), but no significant difference between the two groups at the same time point (P> 0.05). Conclusion: Esophageal drainage laryngeal mask in the resuscitation of severe asphyxia neonatal have a good clinical effect, simple operation, and low airway injury, it is recommended for clinical application.