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目的:探讨脐动脉血气分析在新生儿窒息诊断中的临床应用价值。方法:选择147例新生儿,出生时均行脐动脉血气分析和出生后1 min Apgar评分,分为≥8分组、4～7分组和≤3分组,按组分析脐动脉血气相关数据。结果:脐动脉血pH、PO2、PCO2及BE与Apgar评分呈现明显的相关性;在不同评分组之间,差异具有统计学意义;新生儿脐动脉血pH值<7.20和pH值>7.25,在不同评分组之间,差异具有统计学意义。结论:脐动脉血气分析是一项客观、可靠的检查指标,能够弥补传统Apgar评分的不足,提高新生儿窒息的诊断率和治愈率。
Objective: To investigate the value of umbilical artery blood gas analysis in the diagnosis of neonatal asphyxia. Methods: A total of 147 newborns were selected. Umbilical arterial blood gas analysis at birth and Apgar score at 1 min after birth were divided into group of ≥8, group of 4 to 7, and group of ≤3. Umbilical arterial blood gas data were analyzed by group. Results: The umbilical arterial blood pH, PO2, PCO2 and BE were significantly correlated with Apgar score. The differences were statistically significant in different score groups. The neonatal umbilical artery blood pH <7.20 and pH value> 7.25, There were significant differences among different rating groups. Conclusion: Umbilical arterial blood gas analysis is an objective and reliable test that can make up for the deficiency of traditional Apgar score and improve the diagnostic rate and cure rate of neonatal asphyxia.