新生儿窒息的抢救与护理分析

目的以儿科2011 年5 月至2013 年4 月间病例为研究对象,探讨新生儿窒息围复苏期抢救与护理方法及效果.方法：新生儿窒息病例共76 例均实施复苏前、复苏中和复苏后护理,复苏抢救采用国际公认的ABCDE 标准.结果：抢救护理前患儿Apgar 集中在0-7 分,抢救护理后97.4%患儿Apgar 呼吸评分恢复至正常,2例抢救护理前为重度窒息患儿改善至轻度窒息,抢救护理前后Apgar 评分与抢救护理前比较具有统计学差异（P〈0.01）.重度窒息患儿窒息持续时间明显长于轻度患儿,数据间比较具有统计学差异（P〈0.01）.结论：新生儿窒息应用围复苏期抢救护理方法具有较好效果,有利于早期促进患儿自主呼吸,恢复正常生命体征,临床应准确评估窒息程度,对重度患儿加强警惕,尽早抢救并提高成功率.

Objective 2011 May to 2013 April in the Department of Pediatrics between case as the research object, to explore the neonatal asphyxia during recovery period ofrescuing and nursing method and effect. Methods： a total of 76 cases were recovery, recovery nursing implementation before and after resuscitation of neonatal asphyxia resuscitationcases, using the internationally recognized ABCDE standard. Results： the nursing care before the children Apgar concentrated in the 0-7, returned to normal 97.4% Apgar in childrenwith respiratory grading nursing, rescue of 2 cases nursing for neonates with severe asphyxia were improved to mild asphyxia, rescue and nursing of Apgar scores before and after therescue and nursing before comparison with statistical difference （P〈0.01）. Severe asphyxia asphyxia duration was longer than the mild patients, data comparison with statisticaldifference （P〈 0.01）. Conclusion： the peri recovery nursing method has better effect of neonatal asphyxia, is conducive to promote children early spontaneous breathing, restore thenormal vital signs, clinical should assess the degree of asphyxia, to strengthen the vigilance of children with severe, as soon as possible and improve the success rate of rescue.