新生儿窒息的80例临床研究.docVIP

新生儿窒息的80例临床研究 　　[摘要] 目的 对新生儿窒息的原因进行分析，并探讨治疗新生儿窒息的有效措施。 方法 在2008年5月―2015年5月由该院所生产的患有新生儿窒息的患儿中随机抽取80例作为该研究的对象。对导致新生儿窒息的因素进行研究，并实施有效治疗措施。将患儿随机分为观察组与对照组各40例，对照组采用常规治疗方式进行治疗，观察组采用气管插入导管的方式对窒息患儿进行粘液胎粪的洗净处理，对窒息程度较重的患儿予以心脏按压的方式治疗。观察并比较两组患儿的治疗情况。 结果 在抽取的80例患儿中，造成患儿窒息的主要原因包括：脐绕颈、脐脱垂、脐扭转、胎盘早剥、羊水过少、羊水过多、胎儿疾病、胎位异常、早产、母亲因素。经治疗，观察组治疗的总有效率97.50%明显高于对照组82.50%，组间比较差异有统计学意义（P0.05），不良反应主要为心肌损伤、持续肺动脉高压、脑损伤等。 结论 导致新生儿出现窒息的主要原因包括脐绕颈、脐脱垂、脐扭转、胎盘早剥、羊水过少、羊水过多、胎儿疾病、胎位异常、早产、母亲因素等，对出现窒息的新生儿予以气管插入导管的方式对窒息患儿进行粘液胎粪的洗净处理，对窒息程度较重的患儿予以心脏按压的方式治疗，能够有效使新生儿复苏，在临床上具有非常积极的意义。 　　[关键词] 新生儿；窒息；原因分析；针对性治疗 　　[中图分类号] R722.12 [文献标识码] A [文章编号] 1674-0742（2016）02（a）-0103-03 　　Clinical Research on 80 Cases with Asphyxia Neonatorum 　　XIA Ling-yun 　　Pediatrics， Yixing People s Hospital， Yixing， Jiangsu Province， 214200 China 　　[Abstract] Objective To analyze the causes of asphyxia neonatorum and discuss the effective treatment measures of asphyxia neonatorum. Methods 80 cases of children with asphyxia neonatorum produced in our hospital from May 2008 to May 2015 were extracted as the research object and the factors leading to asphyxia neonatorum were researched and the effective treatment measures were implemented， the children were randomly divided into two group with 40 cases in each， the control group were treated with routine treatment way， the observation group were treated with the way to insert a trachea into the catheter to do the cleaning treatment for the mucus meconium in the children with asphyxia， the children whose asphyxia degree was severe were treated with cardiac compression way， the treatment condition of the two groups was observed and compared. Results In the 80 cases of extractive children， the main causes of asphyxia neonatorum included cord round the neck， prolapse of umbilical cord， torsion of umbilical cord， placental abruption， hypamnion， hydramnion， fetal disease， abnormal fetal position， premature birth and mother’s conditions， after treatment， the total treatment effective rate in t