中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
17期
145-147
,共3页
脐动脉%血气分析%Apgar评分%新生儿窒息
臍動脈%血氣分析%Apgar評分%新生兒窒息
제동맥%혈기분석%Apgar평분%신생인질식
Umbilical artery%Blood gas analysis%Apgar score%Neonatal asphyxia
目的：探讨脐动脉血气分析及Apgar评分在评估新生儿窒息中的临床意义。方法选择2012年3月~2013年3月广东省肇庆市第二人民医院分娩的84例新生儿作为研究对象，其中34例窒息新生儿为观察组，50例正常新生儿为对照组。分析两组新生儿出生时Apgar评分及脐动脉血血气分析与脏器损伤的关系，脐动脉血pH值与出生1 min Apgar评分的关系。结果观察组中，pH值<7.2者占38.2%，对照组中pH值<7.2者占16.0%，脐动脉血pH值较低的患儿，Apgar评分也较低，同时窒息的发生率较高，差异均有统计学意义(P<0.05)。结论评估新生儿窒息不能没有血气分析的结果，脐动脉血气分析比Apgar评分对评估新生儿窒息更具客观性，两者结合，能反映胎儿宫内缺氧缺血程度，为临床正确及时诊断新生儿窒息提供可靠的科学依据。
目的：探討臍動脈血氣分析及Apgar評分在評估新生兒窒息中的臨床意義。方法選擇2012年3月~2013年3月廣東省肇慶市第二人民醫院分娩的84例新生兒作為研究對象，其中34例窒息新生兒為觀察組，50例正常新生兒為對照組。分析兩組新生兒齣生時Apgar評分及臍動脈血血氣分析與髒器損傷的關繫，臍動脈血pH值與齣生1 min Apgar評分的關繫。結果觀察組中，pH值<7.2者佔38.2%，對照組中pH值<7.2者佔16.0%，臍動脈血pH值較低的患兒，Apgar評分也較低，同時窒息的髮生率較高，差異均有統計學意義(P<0.05)。結論評估新生兒窒息不能沒有血氣分析的結果，臍動脈血氣分析比Apgar評分對評估新生兒窒息更具客觀性，兩者結閤，能反映胎兒宮內缺氧缺血程度，為臨床正確及時診斷新生兒窒息提供可靠的科學依據。
목적：탐토제동맥혈기분석급Apgar평분재평고신생인질식중적림상의의。방법선택2012년3월~2013년3월광동성조경시제이인민의원분면적84례신생인작위연구대상，기중34례질식신생인위관찰조，50례정상신생인위대조조。분석량조신생인출생시Apgar평분급제동맥혈혈기분석여장기손상적관계，제동맥혈pH치여출생1 min Apgar평분적관계。결과관찰조중，pH치<7.2자점38.2%，대조조중pH치<7.2자점16.0%，제동맥혈pH치교저적환인，Apgar평분야교저，동시질식적발생솔교고，차이균유통계학의의(P<0.05)。결론평고신생인질식불능몰유혈기분석적결과，제동맥혈기분석비Apgar평분대평고신생인질식경구객관성，량자결합，능반영태인궁내결양결혈정도，위림상정학급시진단신생인질식제공가고적과학의거。
Objective To discuss the clinical significance of umbilical artery blood gas analysis and Apgar score in e-valuation of clinical significance in newborns with asphyxia. Methods 84 newborns from March 2012 to March 2013 in the Second People's Hospital of Zhaoqing City in Guangdong Province were selected as study objects, of which 34 newborns with asphyxia were as observation group, and 50 normal newborns were as control group. The relation be-tween the Apgar score at the time of birth, umbilical artery blood gas analysis and visceral injury, and the relation be-tween umbilical arterial pH and Apgar score in 1 min after birth were analyzed. Results In the asphyxia group, new-borns with pH <7.2 accounted for 38.2%, and in the control group, newborns with pH <7.2 accounted for 16.0%, um-bilical artery blood pH value was lower in children who with low Apgar score, at the same time, the rate of asphyxia neonatorum was higher, the differentese were statistically significant (P< 0.05) . Conclusion Assessment of neonatal asphyxia can not be done without blood gas analysis results, umbilical arterial blood gas analysis is more objective than Apgar score in the assessment of neonatal asphyxia, a combination of both can reflect the degree of fetal hypoxia is-chemia, provide reliable scientific basis for clinical correctly and timely diagnosis of neonatal suffocation.
