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目的 探讨新生儿窒息胃液pH值检测的价值.方法 选择2013年8月至2015年2月在安康市妇幼保健院诊治的新生儿窒息78例,根据随机数字表法分为观察组与对照组各39例,所有患儿都给予了胃液pH值检测、消化道出血与反流情况的监测,所有患儿都常规流程进行治疗,观察组在常规治疗的基础上给予思密达治疗.结果 观察组治疗第48小时与第72小时的胃液pH值都明显高于对照组(P＜0.05),并都呈现明显增加的趋势,2组治疗24 h的胃液pH值对比差异无统计学意义(P＞0.05).治疗期间,观察组消化道出血的发生率明显低于对照组(P＜0.05).观察组的反流持续≥5 min次数与最长反流时间都明显少于对照组,差异有统计学意义(P＜0.05).结论 新生儿窒息胃液pH值检测消化道出血与胃食管反流情况有一定意义,早期选择思密达进行干预能提高胃液pH值,改善新生儿的预后.“,”Objective To investigate the detecting values of gastric pH for the neonatal asphyxia.Methods: From August 2013 to February 2015 in our hospital, 78 asphyxia were randomly and equally divided into the observation group and control group.All cases were given gastric pH testing, digestion tract bleeding Monitoring, reflux conditions and routine procedure for treatment.The patients in the observation group received Smecta treatment on the basis of conventional therapy.Results The gastric pH values at 72 h and 48 h after treatment in the observation group were significantly higher (P＜0.05) , and showed a rising trend, the gastric pH values at 24 h after treatment had no statistically significant between two groups.The upper gastrointestinal bleeding rates in the observation group during treatment were 5.1％, which was significantly lower than the control group (23.1％) (P＜0.05).The reflux continued ≥5 min frequency and longest reflux time in the observation group were significantly less than the control group, the differences were statistically significant (P＜0.05).Conclusion For neonatal asphyxia, the gastric pH determination can effectively detect gastrointestinal bleeding and gastroesophageal reflux, the early applying of Smecta intervention can increase gastric pH value, improve neonatal outcomes.