新生儿重度窒息抢救及护理中开展预案管理的效果分析

Analysis of Effect of Carrying Out Pre-plan Management in Emergency Treatment and Nursing of Neonatal Severe Asphyxia

目的:本课题旨在探讨新生儿重度窒息患儿应用预案管理的临床效果。方法:本研究选取2015年2月-2017年6月笔者所在医院收治的新生儿重度窒息患儿112例,根据随机数字法分为对照组和试验组,每组56例,试验组采用预案管理,对照组采用常规抢救护理,比较两组抢救成功率和不同时间的Apgar评分。结果:两组新生儿1 min Apgar评分比较差异无统计学意义(P>0.05);试验组5 min和10 min Apgar评分均高于对照组,抢救成功率高于对照组,比较差异均有统计学意义(P<0.05)。结论:新生儿重度窒息患儿的Apgar评分和抢救成功率可通过预案管理显著提高,值得推广。

Objective：The purpose of this study is to explore the clinical effect of pre-plan management in children with severe asphyxia neonatorum.Method：From February 2015 to June 2017,112 cases of severe asphyxia neonatorum treated in the author＇s hospital were selected and divided into control group and experimental group according to the random number method,56 cases in each group.The experimental group adopted the pre-plan management,while the control group were treated with routine rescue nursing.The success rate of rescue and the Apgar score at different times in the two groups were compared.Result：There was no significant difference in the 1 min Apgar score between the two groups（P〉0.05）.The Apgar scores at 5 min and 10 min in the experimental group were higher than those in the control group,the success rate of rescue was higher than that of the control group,with statistical difference（P〈0.05）.Conclusion：The Apgar score and rescue success rate of children with severe asphyxia in neonates can be significantly improved through the pre plan management,and it is worth promoting.