新生儿诊断窒息多器官衰竭应用新生儿脐动脉血的价值

Application Value of Fetal Umbilical Artery in Diagnosis of Asphyxia Multiple Organ Failure in Newborns

目的分析应用新生儿脐动脉血对新生儿多器官衰竭诊断价值。方法资料方便选取2015年5月—2016年12月该院收治的116例新生儿窒息病历,对其进行详细的回顾与分析,并对比分析Apgar评分与脐动脉血血气分析PH值和BE值预测阳性器官衰竭标准。结果统计发现所有患儿中有发生多器官损伤发生率为,若诊断标准为新生儿分娩后Apgar评分≤6或4分,临床对多器官损害阳性预测值分别为46.12%与64.02%,器官敏感度评分分别为31.28%与51.83%,以及器官特异度分别为25.1%与63.39%;若诊断标准为p H值<6和(或)BE值≤-15 mmol/L,多器官损害阳性预测率分别为71.9%,器官敏感度为65.37%,以及器官特异度为76.28%。结论给予新生儿动脉血气分析监测p H和BE值可有效提高新生儿窒息评价以及多器官损害监测标准,若临床诊断结合Apgar评分可大幅度提高准确性。

Objective To analyze the application value of fetal umbilical artery in diagnosis of Asphyxia multiple organ failure in newborns. Methods The medical records of 116 cases of newborns admitted and treated in our hospital from May2015 to December 2016 were convenient selected and the Apgar score, fetal umbilical artery blood gas analysis PH value and BE value in predicting the positive organ failure were compared and analyzed. Results The statistics showed that the Apgar score ≤6 or 4 scores of newborns after delivery, the positive predictive value to multiple organ injury was respectively 46.12% and 64.02%, the organ sensitivity score was respectively 31.28% and 51.83%, and the specificity degree of organs was respectively 25.1% and 63.39%, if the p H value < 6 and/or BE value ≤-15mmol/L, the positive predictive rate of multiple organ injury was 71.9% and the organ sensitivity degree was 65.37% and the organ specificity was 76.28%.Conclusion Monitoring the p H and BE values by the arterial blood gas analysis of newborns can effectively improve the asphyxia evaluation of newborns and monitoring standards of multiple organ injury, and the clinical diagnosis and Apgar score can greatly improve the accuracy.