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目的:观察剖宫产术中即刻使用吸痰管预防新生儿窒息的临床效果。方法:选择有新生儿窒息高危因素的360例剖宫产产妇,随机分为两组:观察组180例在胎儿娩出后于新生儿第一次呼吸前,在手术台上即由术者使用一次性吸痰管对新生儿进行呼吸道分泌物清除处理;对照组180例在胎儿娩出后将新生儿直接交台下由新生儿医师进行呼吸道分泌物清除处理。观察两组新生儿从切口娩出至开始使用吸痰管进行呼吸道分泌物清除处理所需的时间间隔及两组新生儿出生后1min新生儿窒息与新生儿重度窒息发生情况等。结果:观察组新生儿娩出至开始使用吸痰管所需的时间明显少于对照组(P<0.01),观察组新生儿出生后1min新生儿窒息及新生儿重度窒息的发生率均明显低于对照组(P<0.01)。结论:剖宫产术中即刻使用一次性吸痰管可较早地清除新生儿呼吸道分泌物,预防与减少新生儿羊水吸入及呼吸道阻塞,从而有效地降低新生儿窒息及新生儿重度窒息的发生率。
Objective: To observe the clinical effect of using suction tube to prevent neonatal asphyxia immediately after cesarean section. Methods: A total of 360 cesarean section women who were at high risk of neonatal asphyxia were randomly divided into two groups: 180 cases in the observation group were used once by the surgeon before the first breath of the newborn after the baby was delivered In the control group, 180 cases of respiratory secretions were treated by neonatal physicians directly after the fetus was delivered. The time interval between two groups of newborns delivered from the incision to the beginning of respiratory suction removal using the suction tube and the occurrence of neonatal asphyxia and neonatal severe asphyxia at 1 minute after birth in the two groups of neonates were observed. Results: The time required for neonatal aspiration to start using the suction tube was significantly less in the observation group than in the control group (P <0.01). The incidence of neonatal asphyxia and neonatal severe asphyxia at 1 min after birth in the observation group was significantly lower than that of the control group Control group (P <0.01). Conclusions: Immediate use of disposable suction tube in cesarean section can remove neonatal respiratory secretions earlier, prevent and reduce neonatal amniotic fluid inhalation and airway obstruction, thus effectively reducing neonatal asphyxia and neonatal severe asphyxia rate.