论文部分内容阅读
目的 对于羊水污染的新生儿第一口呼吸前 ,进行气管插管吸净粘液 ,观察新生儿窒息、胎粪吸入综合征的发病率。方法 将 2 92例羊水污染的新生儿随机分为两组 ,常规组仅给予吸痰管盲吸清理呼吸道 ,对照组按照无菌操作及气管插管术的要求进行插管吸痰。结果 常规组窒息的发生率为 40 85 % ,胎粪吸入综合征的发生率为 3 1 69% ,对照组分别为2 3 3 3 %、11 3 3 % ,P <0 0 1。结论 对于羊水污染的新生儿进行气管插管吸痰可显著降低窒息和胎粪吸入综合征的发病率。
Objective To investigate the incidence of neonatal asphyxia and meconium aspiration syndrome before the first breath of amniotic fluid polluted newborn. Methods292 cases of amniotic fluid contaminated newborn were randomly divided into two groups. The conventional group was given blind suction suction tube to clean the respiratory tract, and the control group was intubated and suctioned according to the requirements of aseptic operation and endotracheal intubation. Results The incidence of asphyxia was 40 85% in the conventional group, 31 69% in the meconium aspiration syndrome and 23.3% in the control group, respectively, P <0.01. Conclusion Intratracheal aspiration of neonates with amniotic fluid contamination can significantly reduce the incidence of asphyxia and meconium aspiration syndrome.