新生儿第1次呼吸的处理对新生儿窒息的影响  

Management of newborn first breath and its effect on newborn asphyxia

作　　者：于红[1] 徐桂香[1] 

机构地区：[1]德州市人民医院,山东德州253014

出　　处：《齐鲁护理杂志》2004年第7期490-492,共3页Journal of Qilu Nursing

摘　　要：目的 :探讨新生儿第 1次呼吸的处理对新生儿窒息的影响 ,研究减少新生儿窒息及吸入性肺炎的处理方法。方法 :1999年 1月至 2 0 0 0年 12月分娩的 6 0 0 0例次中新生儿窒息 6 0例 ,发生率为 1%。对 6 0例窒息患儿发生的原因 ,分娩临床经过 ,新生儿娩出时的处理 ,开始啼哭的时间 ,清理呼吸道的方法和效果以及窒息儿的临床表现进行全面综合分析。结果 :新生儿第 1次呼吸处理不当羊水误吸致新生儿窒息和吸入性肺炎在临床上占的比例较大。结论 :接生人员在胎头娩出时勿过早刺激新生儿啼哭 ,及时、准确、有效地清理呼吸道 。Objective:To investigate effect on newborn asphyxia by management of their first breath and explore preventive method about newborn suffocation and inspiratory preumonia.Method:60 cases from 6 000 newborns from 1999, Jan to 2000 Dec. suffered from asphyxia 1%.We had analyzed their etiology,delivery process management of their delivery,time begin to cry and clinical manifestation.Result:Poor management of newborn first breath may induce inspiration of amniotic fluid and even suffocation and inspiratory preumonia.Conclusion:We should not stimulate the newborn to cry too early in time of delivery,cleaning respiratory tract timely and effectively is the crux for prevention of suffocation and inspiratory preumonia.

关 键 词：新生儿 第1次呼吸 窒息 吸入性肺炎 预防 

分 类 号：R722.12[医药卫生—儿科]