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目的 观察喉罩与面罩加压给氧抢救重度窒息新生儿复苏的疗效。方法 40例重度窒息足月新生儿随机分成2组(n=20),一组面罩给氧,一组喉罩给氧。二组均连接麻醉机螺纹管行加压给氧,同时观察其1、3、5分组Apgar评分,SPO2及复苏后48hNACS评分。结果喉罩组新生儿1、3、5minAgpar评分显著高于面罩组,其SPO2显著高于面罩组无需再行气管插管(P<0.05),其NACS评分明显高于面罩组(P<0.01)。结论 在抢救重度窒息新生儿复苏治疗喉罩优于面罩给氧。
Objective To observe the effect of laryngeal mask and mask pressurized oxygen therapy on the resuscitation of neonates with severe asphyxia. Methods Forty neonates with severe asphyxia and full-term asphyxia were randomly divided into two groups (n = 20). One group of masks was given oxygen and the other was laryngeal mask. Both groups were connected to the anesthesia machine thread tube pressurized oxygen, while observing its 1, 3, 5 Apgar score, SPO2 and 48h after resuscitation NACS score. Results The neonatal rats in laryngeal mask group at 1, 3 and 5min were significantly higher than those in mask group (P <0.01). The SPO2 in neonates with laryngeal mask group was significantly higher than that in mask group (P <0.05) . Conclusion Resuscitation laryngeal mask is better than oxygen mask in resuscitation of severe asphyxia neonates.