宫内复苏术对足月胎儿窘迫脐血指标的影响及新生儿神经功能的评估探析

Effect of intrauterine resuscitation on umbilical cord blood index of full-term fetal distress and evaluation of neonatal nerve function

目的:探讨宫内复苏术在足月胎儿窘迫中的应用价值。方法:选取2017年8月~2019年8月海丰县彭湃纪念医院妇产科接诊的足月胎儿窘迫产妇82例随机分为研究组和对照组各41例,研究组实行宫内复苏术治疗,对照组实行常规治疗,对比两组新生儿神经功能与脐血指标。结果:研究组碳酸氢根和血氧分压比对照组高,二氧化碳分压比对照组低,差异均有统计学意义(P<0.05)。研究组新生儿出生后第1天和第5天NSE及S-100蛋白水平比对照组新生儿低,差异有统计学意义(P<0.05)。结论:选择宫内复苏术对足月胎儿窘迫产妇进行治疗,可有效改善脐血指标,且能起到保护新生儿神经功能的作用,建议推广。

Objective To explore the application value of intrauterine resuscitation in full-term fetal distress.Method From August 2017 to August 2019,82 cases of full-term fetal distress parturients of obstetrics and gynecology of pengpai memorial hospital in Haifeng county were selected and randomly divided into study group and control group,41 cases in each group.Intrauterine resuscitation was performed in the study group and routine treatment in the control group.To compare the indexes of neonatal nerve function and umbilical cord blood.Results The partial pressure of bicarbonate and blood oxygen in the study group was higher than that in the control group,and the partial pressure of carbon dioxide was lower than that in the control group,the difference was statistically significant(P<0.05).The NSE and s-100 protein levels of the study group were lower than those of the control group on the first and fifth day after birth,the difference was statistically significant(P<0.05).Conclusion Intrauterine resuscitation can effectively improve umbilical cord blood index and protect neonatal nerve function.