论文部分内容阅读
目的:纵向了解空气与纯氧复苏患儿的生长发育情况,为临床选择复苏用氧提供依据。方法:选择2012年6月~2013年1月在台州市第一人民医院产科出生、胎龄≥37周、体重>2 500 g的60例窒息新生儿为研究对象,依据复苏时用氧浓度的不同将其分为纯氧复苏组和空气复苏组,每组各30例患儿。在新生儿出生3、6、9和12个月后分别进行电话追踪随访,观察患儿运动、神经及心理发育状况,并采用电话预约的方式在患儿12个月(±7天)时进行身高、体重、头围测量及智力发育测评。比较两组患儿的体格发育情况,运动、神经、心理发育标志完成时间及智力发育情况。结果:两组新生儿体格发育指标间比较,差异无统计学意义(P<0.05);两组患儿运动、神经、心理发育完成月份和智力发育情况比较,差异均无统计学意义(P>0.05)。结论:空气复苏是安全有效的,复苏效果与纯氧相似,且可避免纯氧复苏带来的长期效应。
OBJECTIVE: To understand the growth and development of children with air and pure oxygen resuscitation in order to provide evidence for the clinical choice of resuscitation. Methods: From June 2012 to January 2013, 60 neonates with asphyxia born in obstetrics of the First People’s Hospital of Taizhou, with a gestational age of ≥37 weeks and a body weight of 2 500 g, were selected for the study. According to the oxygen concentration They were divided into pure oxygen recovery group and air recovery group, each group of 30 patients. Telephone follow-up was carried out at 3, 6, 9 and 12 months after newborns were born to observe the motor, neurological and psychological development of the children. Telephone booking was performed at 12 months (± 7 days) Height, weight, head circumference measurements and assessment of mental development. The physical development status, motor, neurological and psychic development marks completion time and mental development of the two groups were compared. Results: There was no significant difference in physical development between the two groups (P <0.05). There was no significant difference in the mental, mental and mental development between the two groups (P> 0.05). Conclusion: Air recovery is safe and effective. The recovery effect is similar to that of pure oxygen, and the long-term effect of pure oxygen recovery can be avoided.