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目的:探讨脐动脉血气分析在新生儿窒息诊断中的价值。方法:选择2010年5月～2011年7月足月单胎新生儿180例,于出生时行脐动脉血气分析和1 min Apgar评分,根据Apgar评分将新生儿分为窒息组(77例)和正常组(103例),比较两组脐动脉血气分析结果。结果:两组新生儿脐动脉血pH、PO2、PCO2和BE数值比较,均具有统计学差异(P<0.05或P<0.01)。结论:新生儿脐动脉血气分析可作为评判新生儿缺氧窒息程度的一项客观的指标,能够指导临床医师对窒息新生儿采取早期的治疗。
Objective: To investigate the value of umbilical artery blood gas analysis in the diagnosis of neonatal asphyxia. Methods: From May 2010 to July 2011, 180 full-term newborn infants were selected. Umbilical arterial blood gas analysis and 1 min Apgar score were performed at birth. Neonates were divided into apnea group (n = 77) and Apgar group Normal group (n = 103). The results of umbilical artery blood gas analysis were compared between the two groups. Results: The umbilical arterial blood pH, PO2, PCO2 and BE in two groups had statistical significance (P <0.05 or P <0.01). Conclusion: The neonatal umbilical arterial blood gas analysis can be used as an objective index to evaluate the degree of hypoxia asphyxia in neonates, and can guide clinicians to take early treatment for neonatal asphyxia.