气管插管用于新生儿重度窒息复苏的效果评价

目的探讨气管插管在新生儿重度窒息的复苏效果。方法将78例新生儿随机分为3组,Ⅰ组21例由麻醉医生在手术室和分娩现场及时插管复苏;Ⅱ组25例为麻醉医生应要求到分娩时插管复苏;Ⅲ组32例因技术条件受限未施行气管插管,仅采用清理呼吸道、吸氧、按压胸廓人工呼吸等措施进行复苏。结果Ⅰ、Ⅱ两组的总复苏成功率为91．3％,与Ⅲ组的复苏成功率比较,P〈0．01。结论新生儿重度窒息及时行气管插管复苏、能大大提高患儿的复苏成功率。

Study of the clinical application of the endotracheal intubation in anabiosising severe asphyxia in newborn.

Objective To approach and evaluate the clinical efficacy of the endotracheal intubation in anabiosising severe asphyxia in newborn patients. Methods A total of 78 newborn patients were randomly assigned into three groups. Group Ⅰ （ n = 21 ） ： 21 newborn patients with the severe asphyxia were anabiosised through the tracheal intubation in operating room or childbirth spot by the anaesthesia doctor;Group Ⅱ （n = 25 ）：25 newborn patients were anabiosised through the tracheal intubation in childbirth room by the anaesthesia doctor invited. Group Ⅲ（ n = 32 ） ：32 cases were not anabiosised through the tracheal intubation because there was a limited conditon, and which were delt with the measures of the airways cleared, O^2 inhalation and the artificial respiration and so on. Results （1） In the group Ⅰ and the group Ⅱ , the total of the successful resuscitation rate was 91.3 %, In the group Ⅲ ,that was 53.13 %. （2） Comparing of the total rate of the groups Ⅰ and Ⅱ with the rate of the group m showed that there was a good statistically significant difference（ P 〈 0.01 ）. Conclusion It can improve consumedly the successful resuscitation rate of those newborn patients with severe asphyxia that they were given by the endotracheal intubation and resuscitation.