围生期窒息复苏后新生儿脑组织氧饱和度的监测及护理  

Nursing for anabiotic newborns according to their reginal cerebral oxygen saturation

作　　者：林真珠 唐沂 林继红 吴俊 李志光 

机构地区：[1]暨南大学第二临床医学院深圳市人民医院新生儿科,518020

出　　处：《中国实用护理杂志（中旬版）》2007年第9期6-8,共3页Chinese Journal of Practical Nursing

基　　金：深圳市科技计划立项项目（200603151）

摘　　要：目的探讨围生期窒息复苏后新生儿脑组织氧饱和度（regional cerebral oxygen saturation，rSO2）的变化及相应的护理措施。方法收集围生期轻度窒息新生儿30例，重度窒息新生儿14例，健康对照新生儿28例，分别于出生后第1、2．3、5、7天行rSO2监测，同时测定经皮脉搏氧饱和度（pulse oxygen saturation，SpO2），并对3组新生儿监测数据进行比较。结果轻度窒息组新生儿出生后各时点rSO2、SpO2监测值与健康对照组比较，差异无统计学意义（P〉0．05）；重度窒息组新生儿出生后第1—3天rSO2与健康对照组、轻度窒息组比较，差异无统计学意义（P〉0．05），第5天rSO2监测值与健康对照组及轻度窒息组比较，差异有统计学意义（P〈0．05），第7天rSO2监测值与健康对照组比较，差异有统计学意义（P〈0．01），与轻度窒息组比较，差异有统计学意义（P〈0．05）；重度窒息组新生儿SpO2各时点监测值与健康对照组及轻度窒息组比较差异无统计学意义（P〉0．05）。结论重度窒息新生儿出生后第5、7天的rSO2明显下降；SpO2不能反映rSO2的变化；对窒息复苏后新生儿严密监护、保持呼吸道通畅、氧疗、减少身体的耗氧量具有重要的临床意义。Objective In order to know the changes of regional cerebral oxygen saturation of anabiofic newborns, and then summarize counter nursing measures. Methods Selected 30 perinatal newborns with mild asphyxia, 14 newborns with severe asphyxia and 28 healthy newborns. Monitored the regional cerebral oxygen saturation and pulse oxygen saturation at the time points of the first, the second, the third, the fifth and the seventh day after delivery between the three groups. Results The difference between the healthy new horns group and mild asphyxia group about rSO2 and SpO2 at the different time points were not significant, P〉 0.05, the difference between the severe asphyxia group and healthy newborns group was not significant, while the rSO2 and SpO2 in the fifth and seventh day in severe asphyxia group were significantly lower than those of in the other two groups, P〈0.05. Conclusion The rSO2 of newborns with severe asphyxia in the fifth and the seventh days after delivery decreased significantly, the level of SpO2 can not reflect the changes of rSO2. Care fully monitoring and avoiding oxygen consumption of newborns are the guarantee of clinical effect.

关 键 词：围生期 窒息 脑组织氧饱和度 近红外光谱 护理 

分 类 号：R722.12[医药卫生—儿科]