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目的探讨手托法在预防剖宫产儿早期胃食管返流误吸(GER-A)的临床作用。方法针对导致剖宫产儿胃食管返流误吸的主要原因,根据溺水救治原理,对496例择期剖宫产儿采取促使胃食管、气管内容物排空的手托法。结果所有处理后的新生儿无GER-A发生,无其他并发症发生。结论表明手托法能够有效地促使胃食管及气管中的内容物排出,有效地防止GER-A的发生,同时能够随时进行Apgar评分,安全易行。
Objective To investigate the clinical application of hand propping method in preventing early gastroesophageal reflux disease (GER-A) in cesarean section. Methods According to the main causes of gastroesophageal reflux disease induced by cesarean section, according to the principles of drowning and rescuing, 496 cases of elective cesarean section were given prophylaxis of gastric esophageal and tracheal emptying. Results All newborns did not have GER-A and no other complications occurred. The results showed that hand care method can effectively promote the contents of gastroesophageal and tracheal discharge, effectively prevent the occurrence of GER-A, at the same time be able to Apgar score at any time, safe and easy.