喉罩通气与气管插管抢救新生儿重度窒息复苏的临床效果比较

The clinical effect of the laryngeal mask airway and endotracheal intubation in rescue of severe neonatal resuscitation

目的:观察和比较喉罩通气与气管插管抢救新生儿重度窒息的临床效果。方法:回顾性分析我院出生的57例重度窒息新生儿的临床资料,其中观察组32例患儿采用喉罩通气进行抢救,对照组25例患儿采用气管插管进行抢救,比较两组临床效果的比较。结果:观察组喉罩置入迅速,且起效时间较短,其副损伤发生率以及复苏措施一次性成功率等指标,与对照组比较,差异有统计学意义(P<0.05)。复苏5分钟与复苏1分钟,组内比较,两组患儿的SpO2、Apgar评分、PaO2、PaCO2以及pH等指标,差异有统计学意义(P<0.05),但是两组间比较差异无统计学意义(P>0.05)。结论:喉罩通气抢救新生儿重度窒息复苏具有较好的临床效果,且与气管插管复苏的疗效相当,值得临床广泛推广和应用。

Objective： To observe the clinical effects of laryngeal mask ventilation and tracheal intubation in rescue of severe neonatal asphyxia. Methods：114 cases of severe asphyxia newborns were divided into two groups, of which 64 patients with laryngeal mask airway, 50 patients with tracheal intubation. Results： The laryngeal mask was placed quickly, the onset was shorter, secondary injury incidence and recovery measures were one-time success rate, compared with the control group,the difference was statistically significant （P〈0.05）. Sp02, Apgar score, PaOz, PaC02 and pH indicators for two groups, the difference was statistically significant （P〈0.05）. Conclusion： the laryngeal mask airway in the emergency treatment of severe neonatal resuscitation has better clinical results and efficacy which is quite worth clinical widely promoted and applied.