窒息与新生儿胃肠功能损害关系的分析

Analysis of relationship between asphyxia and gastrointestinal dysfunction in neonates

目的 观察窒息新生儿胃肠道功能损害的发生情况 ,并探讨窒息程度与胃肠损害程度的关系。从而指导临床上窒息对胃肠功能损害的诊治。方法 对 1 96例窒息新生儿 ,根据Appgar评分标准和临床表现进行窒息程度和胃肠功能损害及程度分级 ,并分析两者之间的关系。结果 窒息儿中胃肠功能损害发生率为 32 6 5 % (6 4 / 1 96 ) ,其中轻、重度发生率分别为 2 7 0 4 %和5 0 1 % ;轻、重度窒息并发胃肠功能损害发生率分别为 2 5 32 %和 5 9 5 2 % ,差异有显著性 (χ2 =1 7 5 5 ,P <0 0 1 ) ;轻度窒息并发轻度、重度胃肠功能损害发生率分别为 2 3 38%和 1 95 % ;重度窒息合并轻度、重度胃肠功能损害发生率分别为 4 0 4 8%和1 9 0 4 % ,差异有统计学意义 (χ2 =6 32 ,P <0 0 5 )。结论 随着窒息程度的加重 ,胃肠功能损害不仅并发率显著增高 。

Aim To investigate the relatioship between asphyxia and gastrointestinal dysfunction in neonates. Methods 196 cases with asphyxia were analysed. Extent of asphyxia and gastrointestinal dysfunction were classified by Appgar grade and the manifestion. Results The percentages of gastrointestinal dysfunction in the neonates with asphyxia was 32 65%. The percentages of gastrointestinal dysfunction in mild and serious asphyxia were 25 32% and 59 52%, which were significontly different ( P< 0 05). The percentages of mild and serious gastrointestinal dysfunction in mild asphyxia were 23 38% and 1 95%. The percentages of mild and serious gastrointestinal dysfunction in serious asphyxia were 40 48% and 19 04% ( P< 0 05). Conclusion The percentages and the extent of gastrointestinal dysfunction were higher and more serious with asphyxia aggravated in neoinates.