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目的探讨宫内复苏术对足月胎儿窘迫脐血指标及新生儿神经功能的影响。方法选择2013年10月至2015年10月于本院分娩且发生胎儿窘迫产妇78例,将其随机分为观察组和对照组各39例。对照组给予吸氧、营养支持、补充维生素C等常规治疗,观察组运用宫内复苏术治疗。对比2组新生儿脐血中细胞因子与血清中神经损伤因子含量。结果观察组新生儿脐血中细胞因子与血清中神经损伤因子含量均明显低于对照组(P<0.05)。结论宫内复苏术可缓解胎儿宫内缺氧、酸中毒等情况,起到改善血流动力学、保护神经功能的作用,值得应用。
Objective To investigate the effect of intrauterine resuscitation on full-term fetal distress of cord blood and neonatal neurological function. Methods Seventy-eight pregnant women with fetal distress who were delivered in our hospital from October 2013 to October 2015 were randomly divided into observation group (39 cases) and control group (39 cases). Control group were given oxygen, nutritional support, vitamin C and other conventional treatment, the observation group treated with intrauterine resuscitation. The levels of cytokines and serum nerve injury factors in neonatal cord blood were compared between the two groups. Results The levels of cytokines and serum nerve injury factors in neonatal cord blood of observation group were significantly lower than those of control group (P <0.05). Conclusion Intrauterine resuscitation can relieve intrauterine hypoxia and acidosis, play an important role in improving hemodynamics and protecting neurological function.