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目的观察T组合复苏器在产房中新生儿窒息复苏中的应用效果。方法选取2013年1月至2014年2月在产房中诊断新生儿窒息患儿86例作为研究对象。随机数字表法分为对照组和观察组,每组各组43例。观察组使用T组合复苏器人工通气,对照组使用自动充气式复苏气囊人工通气;两组新生儿均行桡动脉血测血气监测及X线胸片检查,观察比较两组新生儿出生后1min、5min、10min Apgar评分及桡动脉血测血气变化及肺气漏发生情况。结果两组新生儿1min、5min、10min Apagar评分比较差异均无统计学意义(P均>0.05);两组新生儿的p H值、Pa O2、Pa CO2差异均无统计学意义(P均>0.05);观察组复苏成功率为97.67%,对照组复苏成功率为95.35%,二组比较差异无统计学意义(P>0.05);观察组气漏发生率为0,对照组气漏发生率为4.65%,二组比较差异有统计学意义(P<0.05)。结论 T组合复苏器在产房中新生儿窒息复苏中的应用效果显著,具有操作简单、效率高等优点,与自动充气式气囊类似,但T组合复苏器可有效减少或避免肺气漏的发生。
Objective To observe the effect of T combination resuscitator in resuscitation of neonatal asphyxia in the delivery room. Methods From January 2013 to February 2014, 86 cases of neonates with asphyxia were diagnosed in the delivery room. Random number table divided into control group and observation group, 43 cases in each group. The observation group was ventilated with T combination resuscitator and the control group with artificial ventilation with automatic inflation resuscitation balloon. Both neonates underwent radial artery blood gas monitoring and X-ray examination, and the comparison was made between 1 minute after birth, 5min, 10min Apgar score and radial arterial blood gas changes and pulmonary air leak situation. Results There was no significant difference in Apagar score between two groups at 1 minute, 5 minutes and 10 minutes (P> 0.05). There was no significant difference in p H value, Pa O2 and Pa CO2 between the two groups (P> 0.05). The successful rate of recovery was 97.67% in the observation group and 95.35% in the control group, with no significant difference between the two groups (P> 0.05). The incidence of air leakage in the observation group was 0, and the incidence of air leakage in the control group 4.65%, the difference between the two groups was statistically significant (P <0.05). Conclusion T combination resuscitator in the delivery room for neonatal asphyxia recovery effect is significant, with simple operation, high efficiency, and automatic inflatable balloon similar, but T combination resuscitator can effectively reduce or avoid the occurrence of pulmonary air leakage.