CAJ | 학술논문

目的：分析脐动脉血气分析与新生儿窒息的临床相关性，探讨脐动脉血气分析在新生儿窒息诊断中的应用价值。方法：选择2010年7月～2012年9月，在我院分娩的单胎足月新生儿150例，以上入选新生儿均进行脐动脉血气分析与出生后1min Apgar评分，分析新生儿脐动脉血气分析结果与出生后1min Apgar评分的相关性，并探讨其在新生儿窒息诊断中的应用价值。结果：新生儿脐动脉血PO2、pH值、BE值与新生儿Apgar评分，呈正相关性（P＜0.05）；脐动脉血PO2与新生儿Apgar评分，呈负相关性（P＜0.05）；重度窒息组与轻度窒息组和正常组的脐动脉血气分析结果，差异均具有（高度）统计学意义（P＜0.05，P＜0.01）；重度窒息组分别与轻度窒息组和正常组的pH值＜7.20与pH值＞7.25患儿例数比较，差异均具有（高度）统计学意义（P＜0.05，P＜0.01）。结论：在新生儿窒息的临床诊断中，脐动脉血气分析能够弥补传统Apgar评分的不足，对新生儿窒息的早期诊断与预后判断具有重要的临床意义。
목적：분석제동맥혈기분석여신생인질식적림상상관성，탐토제동맥혈기분석재신생인질식진단중적응용개치。방법：선택2010년7월～2012년9월，재아원분면적단태족월신생인150례，이상입선신생인균진행제동맥혈기분석여출생후1min Apgar평분，분석신생인제동맥혈기분석결과여출생후1min Apgar평분적상관성，병탐토기재신생인질식진단중적응용개치。결과：신생인제동맥혈PO2、pH치、BE치여신생인Apgar평분，정정상관성（P＜0.05）；제동맥혈PO2여신생인Apgar평분，정부상관성（P＜0.05）；중도질식조여경도질식조화정상조적제동맥혈기분석결과，차이균구유（고도）통계학의의（P＜0.05，P＜0.01）；중도질식조분별여경도질식조화정상조적pH치＜7.20여pH치＞7.25환인례수비교，차이균구유（고도）통계학의의（P＜0.05，P＜0.01）。결론：재신생인질식적림상진단중，제동맥혈기분석능구미보전통Apgar평분적불족，대신생인질식적조기진단여예후판단구유중요적림상의의。
Objective:To analyze the clinical application of umbilical arterial blood gas analysis and neonatal asphyxia and explore the application value of umbilical arterial blood gas analysis in the diagnosis of neonatal asphyxia.Method:Collect 150 neonates,they were performed the umbilical arterial blood gas analysis and 1min Apgar scores at birth,analyze the clinical application of umbilical arterial blood gas analysis and neonatal asphyxia and explore the application value of umbilical arterial blood gas analysis in the diagnosis of neonatal asphyxia.Result:There was a positive correlation(P<0.05) in Umbilical arterial PO2, pH value, BE values and neonatal Apgar score;there was a negatively correlated (P<0.05)in umbilical arterial PO2 and neonatal Apgar scores;there was a (highly)significant (P<0.05, P<0.01) in the umbilical arterial blood gas analysis results between severe asphyxia group and the mild group and normal group;there was a(highly)significant(P<0.05,P<0.01) in the number of pH<7.20 and pH>7.25 case between severe asphyxia group and the mild group and normal group.Conclusion:In the diagnosis of neonatal asphyxia,the umbilical arterial blood gas analysis could make up for the deficiencies of Apgar scores and improve the diagnosis rates and cure rates of neonatal asphyxia.