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常压给氧预防择期剖宫产新生儿窒息的研究
引用本文:吴寅芬,何永飞,应静君.常压给氧预防择期剖宫产新生儿窒息的研究[J].中国预防医学杂志,2010(6):599-601.
作者姓名:吴寅芬  何永飞  应静君
作者单位:宁波市镇海龙赛医院妇产科,浙江315200
摘    要:目的观察择期剖宫产娩出新生儿立即使用常压给氧预防新生儿窒息的临床效果。方法试验组选择2008年5月~2008年12月单日择期剖宫产产妇167例,在新生儿娩出后立即予常压给氧,同时使用一次性吸痰管对新生儿进行呼吸道分泌物清除处理;对照组为双日择期剖宫产产妇143例,在新生儿娩出后只使用一次性吸痰管对新生儿进行呼吸道分泌物清除处理。比较两组新生儿出生后Apgar评分与经皮血氧饱和度情况。结果与对照组比较,试验组新生儿窒息减少5.99%(P0.05),新生儿出生后血氧饱和度提高快、血氧饱和度达到86%所需时间短(P0.01)。结论剖宫产娩出新生儿立即使用常压给氧,是预防与减少新生儿窒息、快速提高新生儿血氧饱和度的简便而有效的方法 。

关 键 词:剖宫产  新生儿窒息  血氧饱和度  常压给氧

Effects of oxygen at normal pressure on asphyxiated neonates delivered by elective caesarean section
WU Yin-fen,HE Yong-fei,YING Jing-jun.Effects of oxygen at normal pressure on asphyxiated neonates delivered by elective caesarean section[J].China Preventive Medicine,2010(6):599-601.
Authors:WU Yin-fen  HE Yong-fei  YING Jing-jun
Institution:.Longsai Hospital,Ningbo,Zhejiang 315200,China
Abstract:Objective To evaluate the effects of oxygen at normal pressure on asphyxiated neonates delivered by elective caesarean section.Methods A total of 310 uncomplicated term parturients undergoing selective caesarean section were randomly divided into the observation group(n=167) and the control group(n=143).Newborns received oxygen at normal pressure in addition to airway clearance in the observation group,while newborns received airway clearance only in the control group.Apgar scores and percutaneous oxygen saturation(SpO2)of the two groups were compared.Results Compared with control group,the ratio of neonatal asphyxia decreased by 5.99%(P0.05),while oxygen saturation(SpO2)increased rapidly after birth(P0.01)in the observation group.Conclusion Giving oxygen at normal pressure is an effective method for preventing neonatal asphyxia and increasing oxygen saturation in newborns delivered by elective caesarean section.
Keywords:Caesarean section  Neonatal asphyxia  Oxygen saturation  Normal pressure oxygen
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