中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
8期
4-6
,共3页
新生儿%氧疗%HIE%卧位%随访
新生兒%氧療%HIE%臥位%隨訪
신생인%양료%HIE%와위%수방
Newborn%Oxygen therapy%HIE%Supine%Follow-up study
目的 探讨早期氧疗联合左侧卧位对新生儿HIE的影响及随访.方法 对123例37～40周孕妇,随机分为观察组63例,对照组60例.观察组入院后在常规监护及心理安慰基础上,给予待产孕妇吸氧2 L/min、2次/d、30 min/次,并配合左侧卧位,分娩时产程给氧及生后新生儿吸氧30 min;对照组60例常规监护及心理安慰,据观察情况对症处理.结果 两组新生儿Apgar评分1、5 min比较,有显著性差异(P＜0.01);两组新生儿生后NBNA各项评分比较,有显著性差异(P＜0.05、P＜0.05).对3、6、12、18、24、72、84、96个月智能发育商(DQ)比较,观察组明显高于对照组(P＜0.01);神经系统后遗症发病率比较,观察组明显低于对照组(P＜0.05).结论 待产孕妇早期给氧联合左侧卧位对新生儿,能减轻脑灌注损伤,减少后遗症,提高儿童的生存质量及人口素质.
目的 探討早期氧療聯閤左側臥位對新生兒HIE的影響及隨訪.方法 對123例37～40週孕婦,隨機分為觀察組63例,對照組60例.觀察組入院後在常規鑑護及心理安慰基礎上,給予待產孕婦吸氧2 L/min、2次/d、30 min/次,併配閤左側臥位,分娩時產程給氧及生後新生兒吸氧30 min;對照組60例常規鑑護及心理安慰,據觀察情況對癥處理.結果 兩組新生兒Apgar評分1、5 min比較,有顯著性差異(P＜0.01);兩組新生兒生後NBNA各項評分比較,有顯著性差異(P＜0.05、P＜0.05).對3、6、12、18、24、72、84、96箇月智能髮育商(DQ)比較,觀察組明顯高于對照組(P＜0.01);神經繫統後遺癥髮病率比較,觀察組明顯低于對照組(P＜0.05).結論 待產孕婦早期給氧聯閤左側臥位對新生兒,能減輕腦灌註損傷,減少後遺癥,提高兒童的生存質量及人口素質.
목적 탐토조기양료연합좌측와위대신생인HIE적영향급수방.방법 대123례37～40주잉부,수궤분위관찰조63례,대조조60례.관찰조입원후재상규감호급심리안위기출상,급여대산잉부흡양2 L/min、2차/d、30 min/차,병배합좌측와위,분면시산정급양급생후신생인흡양30 min;대조조60례상규감호급심리안위,거관찰정황대증처리.결과 량조신생인Apgar평분1、5 min비교,유현저성차이(P＜0.01);량조신생인생후NBNA각항평분비교,유현저성차이(P＜0.05、P＜0.05).대3、6、12、18、24、72、84、96개월지능발육상(DQ)비교,관찰조명현고우대조조(P＜0.01);신경계통후유증발병솔비교,관찰조명현저우대조조(P＜0.05).결론 대산잉부조기급양연합좌측와위대신생인,능감경뇌관주손상,감소후유증,제고인동적생존질량급인구소질.
Objective To explore the early reoxygenation and lying on the left side of neonatal HIE and follow-up study. Methods 123 cases of active movement in the 37 ～ 40 week pregnant women divided into two groups under the voluntary 63 cases ,60 cases of the control group. Observer Group in the conventional care,nutrition and psychological comfort, based on early to give pregnant women oxygen 2 L/min, 2 times/day, 30 mins/times, and in line with the left side lying, birth process oxygen and oxygen after birth, the newborn 30 minutes. Control group were given conventional measure of conventional care and mental psychological comfort, it was observed to deal with the situation of illness. Results Two groups of neonatal Apgar score 1 min, 5 min comparison, the difference was significant(P ＜ 0. 005, P ＜ 0. 01) ;two groups of neonatal after birth NBNA the score comparison, the difference was significant (P ＜ 0. 005 or P ＜ 0.05). 3,6,12,18,24,72,84,96 intelligent months from the development quotient (DQ) of comparison, significantly higher than those in the observation group (P ＜ 0. 01) ;the incidence of nervous system sequelae of comparison, the observation group were significantly lower in the control group (P ＜ 0. 05). Conclusion Early oxygen and left lying on the impact of neonatal HIE, can reduce the cerebral reperfusion injury and reduce side effects, improve the quality of life of children and the quality of the population.
