不同复苏方法对新生儿窒息复苏效果的影响

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为了观察新的规范化新生儿复苏(简称新法复苏)与过去常规采用的复苏(旧法复苏)对窒息复苏效果的影响,提高新生儿复苏的成功率,减少由于窒息造成的伤残及死亡,观察了1989、1993及1997年出生的新生儿5383例。其中窒息新生儿186例,将本院采用新法复苏后的1997年出生的新生儿窒息率、死亡率、窒息程度、时间、Apgar评分等与旧法复苏的1989年及部分采用新法复苏的1993年进行比较及统计学处理分析,结果显示采用新法复苏后的1997年比采用旧法复苏的1989年窒息率从4.4%下降至2.3%,重度窒息率从63.6%下降至32.3%,死亡率从13.1%下降至3.2%,平均窒息时间从7.5min下降至3.3min,平均1minApgar评分从3.7分升高到6.1分,5minApgar评分从7.7分升高至9.7分,两组间均有非常显著的差异,而部分采用新法复苏的效果不肯定。提示新法复苏的彻底全面开展有利于复苏效果的提高,值得广泛深入推广 In order to observe the impact of the new normalized resuscitation (the new law recovery) and the conventionally adopted resuscitation (the old law resuscitation) on the resuscitation effect of asphyxia, improve the success rate of neonatal resuscitation and reduce the disability and death caused by suffocation, we observed 5383 newborns born in 1989, 1993 and 1997. Among them, 186 cases of asphyxial newborns were recruited in 1989, which were resuscitated with the old method and neonatal asphyxia, mortality, apnea, time, Apgar score, etc Comparison and statistical analysis showed that the rate of asphyxia in 1989 after resuscitation by the new law dropped from 4.4% to 2.3% in 1989 compared with the recovery from the old method, and the severe asphyxia rate dropped from 63.6% to 32.3 %, The mortality rate dropped from 13.1% to 3.2%, the average asphyxia time decreased from 7.5min to 3.3min, the average 1minApgar score increased from 3.7 to 6.1 points, 5minApgar score of 7. 7 points to 9.7 points, there are very significant differences between the two groups, and some of the effects of the new method of recovery is not sure. Suggesting that a thorough and comprehensive recovery of the new law is conducive to the improvement of the recovery effect and deserves extensive and in-depth promotion
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