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目的:探讨中医辨证联合气管插管术在抢救新生儿窒息中的临床应用效果。方法:选择2011年1月—2012年12月该院收治的60例新生儿窒息患儿作为观察对象,根据不同的抢救方法,分为中医辨证结合气管插管术抢救组(A组)和气管插管术抢救组(B组),每组各30例。B组给予气管插管接复苏囊正压给氧人工呼吸施行抢救,A组在B组的基础上给予中医辨证的穴位针灸及手法按摩进行抢救,观察两组患者的复苏成功率、复苏时间以及1 min和5 min的Apgar评分。结果:A组复苏成功率较B组高,但无显著性差异(P>0.05);A组复苏时间较B组短,两组比较差异具有统计学意义(P<0.05);两组1 min Apgar评分无显著性差异(P>0.05),但5 min Apgar评分有显著性差异(P<0.05)。结论:中医辨证穴位针灸结合气管插管术抢救窒息新生儿,可以缩短抢救时间且预后良好,值得临床推广应用。
Objective: To explore the clinical application of syndrome differentiation combined with tracheal intubation in the rescue of neonatal asphyxia. Methods: Sixty neonates with asphyxia admitted to our hospital from January 2011 to December 2012 were selected as observation objects. According to different rescue methods, the patients were divided into two groups: group A with synergistic tracheal intubation (group A) and trachea Intubation rescue group (B group), each group of 30 cases. Group B was given tracheal intubation and recovery capsule positive pressure oxygen artificial respiration for rescue. Group A was treated with acupuncture and massage of acupuncture and massage acupuncture with TCM syndrome differentiation based on group B. The success rate of resuscitation, recovery time and recovery time were observed in two groups Apgar scores at 1 and 5 min. Results: The success rate of recovery in group A was higher than that in group B, but there was no significant difference (P> 0.05). The recovery time in group A was shorter than that in group B, the difference was statistically significant (P <0.05) Apgar score was not significantly different (P> 0.05), but 5 min Apgar score was significantly different (P <0.05). Conclusion: TCM syndrome differentiation acupuncture combined with tracheal intubation rescue asphyxia neonates, can shorten the rescue time and the prognosis is good, worthy of clinical application.