头后仰侧卧位预防剖宫产新生儿窒息

Side-lying position with hypsokinesis can prevent post-cesarean neonatal suffocation

目的探讨头后仰侧卧位对为预防新生儿窒息的临床应用价值。方法选择同期择期剖宫产手术220例,新生儿娩出经手术医师初步呼吸道清洁后,安放在保暖台时立即取头后仰侧卧位,根据啼哭声酌情行口咽腔吸引,记录吸出液量、测量头围、胸围;分别于娩出后1分钟、5分钟和出手术室时进行Apgar评分。结果所有新生儿均未作气管插管,Apgar评分>8分,出手术室时>9分,头围显著大于胸围(P<0.05)。新生儿娩出有86%需口咽腔吸引,21例在处理脐带过程中可见分泌物/羊水积集于口侧腔,或经口角流出,但均未发生误吸、缺氧。9例Apgar评分6-7分经口咽腔吸引、面罩加压吸氧人工辅助通气后>9分。结论头后仰侧卧位能有效预防新生儿窒息,可在临床推广应用。

Objective To study the effect of side-lying position with hypsokinesis on post-cesarean neonatal suffocation.Methods 100 cases of cesarean section were selected.After the neonatal breathing tract being cleaned,the neonatal lied on the warm platform with side-lying position with hypsokinesis.According to the sound of crying,suctions were done from oral pharynx.The amount of liquid sucked was recorded.They were sent out of the operation room and were appraised by Apgar.Result All the neonates had no need for trachea tube.Apgar score was more than 8.The head circumferences were larger than that of the chest（P〈0.05）.86% of the neonatus needed oral-pharynx suction.Conclusion Side-lying position with hypsokinesis can effectively prevent neonatal suffocation.