手托法用于新生儿出生后早期处理的临床观察

Clinical Analysis of the Early Clinical Treatmen by Holding with Hands Immediately after the Birth of Delivery

目的:观察运用手托法对阴道分娩的新生儿出生后早期进行处理的临床效果。方法:将2008年1月至2010年1月在我院分娩的3460例新生儿随机分成手托法组、常规组。手托法组新生儿出生后采用手托法进行处理,常规组新生儿出生后按新生儿常规处理。比较两组新生儿胃食管返流误吸(GER-A)以及轻度窒息的发生率。结果:手托法组1680例中无一例发生GER-A,常规组1780例中有6例发生GER-A,P<0.05,差异有统计学意义;手托法组新生儿轻度窒息的发生率为2.86%,常规组新生儿轻度窒息的发生率为4.10%,P<0.05,差异有统计学意义。结论:新生儿出生后采用手托法进行即时处理可以有效预防GER-A的发生,可以明显降低新生儿轻度窒息的发生率,是有效治疗新生儿轻度窒息的一种手段。操作简单易行,安全有效,易于推广。

Objective：To evaluate the clinical effect of the early clinical treatment by holding with hands immediately after the birth of vaginal delivery.Methods：3460 cases of neonatal birth in our hospital from January 2008 to January 2010 were randomly divided into holding with hands immediately group,the conventional group.holding with hands immediately group after birth treatment by holding with hands,Conventional group after birth handle with the conventional treatment.compare the incidence of neonatal gastro gastroesophageal reflux aspiration（GER-A） and Were compared the incidence of neonatal gastroesophageal reflux aspiration（GER-A） and mild asphyxia.Results：There is no case of GER-A in holding with hands immediately group（n = 1680）,but 6 cases in the conventional group（n=1780）.P0.05,There was significant difference.Conclusion：The early clinical treatment by holding with hands immediately after the birth of delivery Can be effective in preventing the occurrence of GER-A.Can significantly reduce the incidence of mild neonatal asphyxia.It is an effective clinical treatment of mild neonatal asphyxia.And the operation is simple,safety,effective,easy to spread.