手托法预防剖宫产儿早期胃食管返流误吸的临床观察

目的探讨手托法在预防剖宫产儿早期胃食管返流误吸(GER-A)的临床作用。方法针对导致剖宫产儿胃食管返流误吸的主要原因,根据溺水救治原理,对496例择期剖宫产儿采取促使胃食管、气管内容物排空的手托法。结果所有处理后的新生儿无GER-A发生,无其他并发症发生。结论表明手托法能够有效地促使胃食管及气管中的内容物排出,有效地防止GER-A的发生,同时能够随时进行Apgar评分,安全易行。

Prevention of gastroesophageal reflux and aspiration in neonates by holding with hands imme diately after delivery by cecarean section

Objective To evaluate the clinical effect of preventing gastroesophageal reflux (GER) and aspiration in neonates delivered by elective cesarean section with hand immediately after birth. Methods On the basis of the principles for drowning resuscitation and evaluation of the principal factors causing GER and aspiration, the author adopted immediate manual man-agement to promote emptying of gastroesophageal and airway contents in 496 newborns delivered by elective cesarean sec-tion. Results No GER and aspiration occurred in the babies receiving the management, and no complication was recorded. Conclusions As an early preventive measure, manual management is effective in clearing gastroesophageal and airway con-tents against GER and aspiration, and Apgar scoring can be readily conducted.