摘要
目的研究新生儿断脐时机的选择对湿肺的影响。方法选择60例新生湿肺患儿作为研究对象,通过回顾性分析将其分为产后10～15min给予断脐处理的观察组和产后1～5min时给予断脐处理的对照组,观察新生儿湿肺情况、Apgar评分以及呼吸功能和心功能。结果观察组重型湿肺例数、收缩压、舒张压、三种以上X线表现的例数、采用呼吸机辅助呼吸的例数、呼吸恢复平稳的时间、X线征象消失的时间均明显低于对照组(P<0.05);Apgar评分、动脉血氧分压、血氧饱和度明显高于对照组(P<0.05)。结论适当延迟断脐时间,在产后(10～15)min时给予断脐处理,有助于预防新生儿湿肺的发生。
Objective To study the effect of newborn umbilical cord cutting timing on wet lung. Methods 60 wet lung of newborn children were selected, through a retrospective analysis of the postpartum 10-15 rain when given off navel treatment observation group and postpartum 1-5 min give off umbilical treatment control group, wet lung of newborn was analyzed, as well as Apgar score, respiratory function and cardiac function. Results The observation group had lower heavy wet lung cases, systolic pressure, diastolic pressure, the number of patients with ventilator assisted breathing, respiratory recovery stationary time, X-ray signs disappear with time; Apgar score, arterial partial pressure of oxygen, oxygen saturation was significantly higher than that of control group. Conclusion Properly delayed omphalotomy time, in the postnatal （10-15） min give off umbilical treatment, contributes to the prevention of the occurrence of wet lung of the newborn.
出处
《西部医学》
2013年第5期673-674,677,共3页
Medical Journal of West China
基金
河北省卫生厅课题(2011045321)
关键词
新生儿湿肺
断脐
APGAR评分
Wet lung of newborn
Cutting umbilical cord
The score of Apgar
