T-piece复苏器在产房中对早产儿复苏中的应用效果评价

Does T-piece Resuscitator in the Delivery Room Improve the Resuscitation Efficacy on Preterm Infants

目的:探讨T-piece复苏器在产房中对早产儿复苏中的应用效果。方法:选择2011年1月至2016年12月在本院产科出生的早产儿(胎龄28～37周)62例,随机分为对照组与观察组,各31例,对照组患儿给予自动充气式复苏囊正压人工通气,观察组患儿给予T组合复苏器正压人工通气,比较两组患儿1、5、10 min Apgar评分、肺气漏发生率,以及缺氧缺血性脑病、支气管肺发育不良、坏死性小肠结肠炎、动脉导管未闭、高胆红素血症率。结果:两组患儿胎龄、性别、分娩方式、出生体重、出生后1、5、10 min Apgar评分等方面差异均无统计学意义(P>0.05)。与对照组相比,观察组气漏发生率降低,差异有统计学意义(P<0.05)。两组患儿缺氧缺血性脑病、支气管肺发育不良、坏死性小肠结肠炎、动脉导管未闭、高胆红素血症率差异无统计学意义(P>0.05)。结论:T-piece复苏器在产房中早产儿窒息复苏中的应用效果显著,具有操作简单、效率高等优点,两组复苏成功率差别不大,但T-piece复苏器能可有效减少肺气漏的发生,进而降低新生儿的病死率。

Objective: To study the efficacy of T-piece resuscitator on the preterm infants in the delivery room. Methods: From January 2011 to December 2016 born in our hospital, in a total of 62 preterm infants(gestational age 28~37 weeks) were enrolled, of which 31 cases were control group, 31 cases were observation group. The control group were given self-inflating bag, and the observation group were given T-piece resuscitator. 1, 5, 10 min Apgar score, the incidence of lung leakage, and hypoxic ischemic encephalopathy,bronchopulmonary dysplasia, necrotizing enterocolitis, patent ductus arteriosus, hyperbilirubinemia rate were compared between groups.Results: There are no statistically significant difference in gestational age, gender, delivery mode, birth weight, 1, 5, 10 min Apgar scores between two group(P>0.05). Compared with the control group, the lung leakage of observation group rate is reduced, the difference was statistically significant(P<0.05). The hypoxic ischemic encephalopathy, bronchopulmonary dysplasia, necrotizing enterocolitis, patent ductus arteriosus, hyperbilirubinemia rate showed no significant difference between two group(P >0.05). Conclusions: The T-piece resuscitator on the preterm infants in the delivery room, has the advantages of simple operation, high efficiency, the resuscitation success rate is not very different between two group, but the T-piece resuscitator can effectively reduce the neonatal mortality of lung leakage.