食管引流型喉罩与气管插管在重度窒息新生儿复苏中的对比研究

目的：观察食管引流型喉罩（PLMA）对重度窒息新生儿复苏的可行性、有效性和安全性，比较PLMA与气管插管在重度窒息新生儿复苏中的临床效果。方法：将我院171例重度窒息新生儿随机分为观察组96例和对照组75例，分别应用PLMA和气管插管进行复苏，比较两种方法的复苏效果。结果：观察组PLMA插入时间、起效时间、气道损伤发生率及一次性成功率均明显优于对照组（P〈0．05）；两组复苏1min、5min时的SpO2、Apgar评分、PaO2、PaCO2及pH值均明显优于复苏前（P〈0．05），但两组间同一时间点无明显差异（P〉0．05）。结论：食管引流型喉罩在重度窒息新生儿复苏中有较好的临床效果，操作简单，且气道损伤率低，建议临床推广应用。

Control Study of the ProSeal Laryngeal Mask Airway and Endotracheal inTubation in Rescue of Severe Neonatal Asphyxia

Objective ：To observe the feasibility, efficacy and safety of utilizing the ProSeal laryngeal mask airway （PLMA） and compare it with tracheal intubation in the treatment of severe neonatal asphyxia. Methods： 171 newborns suffered from severe asphyxia were divided into observation group （n=96） with the PLMA and control group （n=75） with tracheal intubation. The rescue effects were compared between the two groups. Results：The time of implementation and taking effects, airway damage rate and success rate in the observation group were significantly better than those in the control group （P〈0.05）. The SpO2, Apgar score, PaO2, PaCO2 and pH in 1 minute and 5 minutes of resuscitation were significantly better than those in before resuscitation, but there were no significantly different of the indicators between the two groups at the same times of resuscitation （P 〉 0.05）. Conclusion.The PLMA in the emergency treatment of server neonatal resuscitation has better clinical results, including more efficacy, easy to operate and high safer rate, which is worth of promoting clinically.