40%氧浓度对窒息新生儿复苏的临床疗效

To Investigate the Clinical Effect of 40%Oxygen Concentration on Resuscitation in Asphyxiated Neonates

目的探讨使用40%氧浓度对窒息新生儿复苏的临床疗效。方法收集2015年5月—2019年5月我院新生儿监护室治疗的窒息新生儿62例,按随机数字表法分为A、B两组,每组31例。A组患儿复苏时使用40%氧浓度,B组患儿复苏时使用正常空气,比较两组患儿出生后1 min、出生后5 min、出生后10 min的Apgar评分,开始啼哭时间,建立自主呼吸时间,复苏成功率。结果A组患儿出生后1 min、出生后5 min、出生后10 min的Apgar评分均高于B组患儿,同时A组患儿开始啼哭时间和建立自主呼吸时间均快于B组患儿,差异均有统计学意义(P<0.05)。两组患儿的复苏成功率的比较无统计学差异(P>0.05)。结论在复苏窒息新生儿时,给予40%氧浓度通气,治疗效果佳,能加快患儿啼哭和恢复自主呼吸,在临床上有一定的参考意义。

Objective To investigate the clinical effect of 40%oxygen concentration on resuscitation in asphyxiated neonates.Methods From May 2015 to May 2019,62 cases of asphyxia newborns treated in the Neonatal care unit of our hospital were collected and randomly divided into two groups(A and B)according to the random number table method,with 31 cases in each group.Children in group A used 40%oxygen for resuscitation and ventilation,and children in group B used normal air for resuscitation and ventilation.The Apgar scores at 1 minute,5 minutes after birth,and 10 minutes after birth,starting crying time,spontaneous breathing time,resuscitation success rate between the two groups were compared.Results Apgar scores of asphyxiated newborns in group A at 1 minute,5 minutes after birth,and 10 minutes after birth were higher than those in group B,at the same time,the time of starting to cry and established spontaneous breathing of the children in group A were faster than those in group B.The differences were statistically significant(P<0.05).There was no statistical difference in the resuscitation success rate between the two groups of children(P>0.05).Conclusion In the resuscitation of asphyxiated neonates,40%oxygen concentration ventilation is given,which has a good therapeutic effect,can speed up crying and restore spontaneous breathing in children,which has certain clinical significance.