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目的:对新生儿乳酸检测在胎儿宫内窘迫诊断中的临床意义进行分析。方法:将我院新出生的110例正常新生儿和234例宫内窘迫的新生儿作为本次研究的观察对象,以已发生胎儿宫内窘迫的234例新生儿为观察组,以未发生胎儿宫内窘迫的110例新生儿为对照组,在新生儿建立自主呼吸之前,分别采取脐静脉血、脐动脉血和末梢血进行乳酸含量的检测。结果:胎儿宫内窘迫的新生儿和正常新生儿乳酸的含量均为:脐动脉血>末梢血>脐静脉血。胎儿宫内窘迫的新生儿脐动脉血、脐静脉血、末梢血乳酸的含量均高于正常新生儿且具有显著性的增高(P<0.05)。结论:新生儿乳酸的检测对宫内窘迫具有较好的辅助诊断意义,能作为宫内窘迫的检测指标。
Objective: To analyze the clinical significance of neonatal lactic acid test in the diagnosis of fetal distress. Methods: A total of 110 newborn infants born in our hospital and 234 newborn infants with intrauterine distress were enrolled in this study. 234 neonates with fetal distress were selected as the observation group, One hundred and ten newborns with intrauterine distress were the control group, and the umbilical venous blood, umbilical artery and peripheral blood were taken to detect the content of lactic acid before spontaneous breathing was established. Results: The content of lactate in neonatal and normal newborns with fetal distress was: umbilical artery blood> peripheral blood> umbilical vein blood. The levels of umbilical arterial blood, umbilical blood and peripheral blood lactate in infants with fetal distress were significantly higher than those in normal newborns (P <0.05). Conclusion: Neonatal lactic acid detection of intrauterine distress has a good diagnostic value, can be used as a marker of intrauterine distress.