摘要
目的:比较气管插管与复苏囊面罩正压通气在新生儿窒息复苏中的应用效果,为临床选择提供参考。方法:回顾性分析汝州市第一人民医院2017年9月—2020年8月收治的62例窒息新生儿的临床资料,按复苏所用通气方式不同分为气管插管组(n=32)和复苏囊面罩组(n=30)。气管插管组患儿采取气管插管正压通气,复苏囊面罩组患儿采取复苏囊面罩正压通气。比较两组患儿通气起效时间及复苏时间、复苏治疗前及复苏治疗5 min后窒息情况(Apgar评分)、血气指标、不良反应发生率及不良转归发生率。结果:气管插管组患儿通气起效时间、复苏时间均短于复苏囊面罩组,差异有统计学意义(t=7.145、7.455,P<0.05);复苏治疗5 min后,气管插管组患儿的Apgar评分、动脉血氧分压(PaO_(2))、血氧饱和度(SpO_(2))高于复苏囊面罩组,动脉二氧化碳分压(PaCO_(2))低于复苏囊面罩组,差异有统计学意义(t=3.688、5.177、8.092、4.513,P<0.05);两组患儿不良反应发生率、不良转归发生率比较,差异无统计学意义(P>0.05)。结论:气管插管正压通气、复苏囊面罩正压通气均是新生儿窒息安全有效复苏方式,患儿转归良好,但与复苏囊面罩正压通气比较,气管插管正压通气可有效加快通气起效,促进患儿快速复苏,同时促进其动脉血气指标快速恢复,复苏效果更为显著。
Objective:To compare the application effect of tracheal intubation positive pressure ventilation and resuscitation sac mask positive pressure ventilation in neonatal asphyxia resuscitation,and to provide data reference for clinical selection.Methods:Clinical data of 62 neonates with asphyxia treated in Ruzhou First People’s Hospital from September 2017 to August 2020 were retrospectively analyzed.According to different ventilation methods used in resuscitation,they were divided into tracheal intubation group(n=32)and resuscitation capsule mask group(n=30).Tracheal intubation group received tracheal intubation positive pressure ventilation,and resuscitation capsule mask group received resuscitation sac mask positive pressure ventilation.The ventilation onset time,resuscitation time,asphyxia(Apgar score),blood gas indexes before and after 5 minutes of resuscitation treatment,incidence of adverse reactions and incidence of adverse outcomes were compared between tracheal intubation group and resuscitation capsule mask group.Results:The ventilation onset time and resuscitation time in tracheal intubation group were shorter than those in resuscitation capsule mask group(t=7.145,7.455;P<0.05).After 5 minutes of resuscitation treatment,the Apgar score,partial pressure of oxygen in artery PaO_(2)and SpO_(2)in the tracheal intubation group were higher than those in the resuscitation capsule mask group,and the PaCO_(2)was lower than that in the resuscitation capsule mask group(t=3.688,5.177,8.092,4.513;P<0.05).There is no significant difference in the incidence of adverse reactions and adverse outcomes between the tracheal intubation group and resuscitation capsule mask group(P>0.05).Conclusion:Tracheal intubation positive pressure ventilation and resuscitation sac mask positive pressure ventilation are both safe and effective resuscitation methods for neonatal asphyxia,and the outcome of the children is good.However,compared with resuscitation sac mask positive pressure ventilation,tracheal intubation positive pressure ventilation can effectively accelerate the effect of ventilation,promote the rapid recovery of children,and promote the rapid recovery of arterial blood gas indexes.The recovery effect is more significant.
作者
杜海燕
Du Haiyan(Department of Neonatology,Ruzhou First People’s Hospital,Ruzhou,Henan,467500,China)
出处
《黑龙江医学》
2024年第7期812-814,共3页
Heilongjiang Medical Journal
关键词
新生儿窒息
气管插管正压通气
复苏囊面罩正压通气
血气指标
Neonatal asphyxia
Tracheal intubation positive pressure ventilation
Resuscitation sac mask positive pressure ventilation
Blood gas index
