486例新生儿窒息预防及干预的护理体会.docVIP

精品论文 参考文献 486例新生儿窒息预防及干预的护理体会 谢玉 　　四川省绵阳市中心医院产科四川绵阳621000 　　【摘要】 　　目的：探讨如何应用简单快捷的有系统理论依据的新生儿窒息抢救方法以减少新生儿窒息发生和提高窒息新生儿复苏的成功率。方法：将绵阳中心医院妇产科2011年1月2013年3月在产房出生的新生儿486例，随机分为对照组与实验组，每组243例。对照组采取常规方法处理新生儿；实验组则采取2010年美国心脏协会新生儿复苏指南ABCD新生儿窒息复苏步骤。比较两组新生儿Apgar评分以判定复苏效果。结果：实验组经过ABCD复苏步骤抢救的新生儿1分钟、5分钟、10分钟Apgar评分均好于对照组，两组数据经x2检验，在P＜0005的水准上，x2gt;x2（0005,2）=106，存在显著差异性，有统计学意义。结论：新生儿出生时经过正确的评估，采取正确干预措施有利于减少新生儿窒息的发生，有利于提高窒息新生儿抢救的成功率。正确识别产前、产时相关危险因素，加强围产期保健及产时监护，提高助产技术，注意接产各环节的正确处理，发生窒息后快速正确地抢救复苏，也是降低新生儿窒息死亡率及减少伤残和后遗症的关键。 　　【关键词】新生儿窒息;预防;干预 　　【Abstract】 　　Objective: Discusses the application of a simplesystem salvage method of neonatal asphyxia to reduce the incidence of neonatal asphyxia and to improve the success rate of neonatal resuscitation.Methods: 486 newborns were randomly divided into control group and experimental group. The control group adopted conventional method for treatment of newborn. The experimental group was taken on the 2010 guideline for neonatal resuscitation of American Heart Association. Compare the neonatal Apgar score of two groups to determine the recovery effect. Results: The neonatal Apgar score of experimental group are better than that of control group. There was significantly difference between the two groups (P＜005)，there was statistical significance.Conclusions: The correct evaluation and intervention can reduce neonatal asphyxia and improve the success rate of neonatal resuscitation. They are all the keys to reduce the mortality rate and decrease the disability and neonatal asphyxia sequelae,including: correct associated with prenatal and intrapartum;strengthen perinatal health care; strengthen the monitoring of labor; to improve delivery technology; to pay attention to the correct processing to each link of labor; timely and accurate recovery. 　　【Key words】Neonatal asphyxia，Prevention，Intervention 　　【中图分类号】R72212 　　【文献标识码】B【文章编号】16748999(2013)12005601 　　新生儿窒息是胎儿娩出后1 分钟仅有心跳而无呼吸或未建立规律呼吸的缺氧状态［1］。是新生儿出生后常见的一种紧急情况，死亡原因为复苏技术欠佳造成的脑损伤［2］。如何减少和