观察喉罩通气对新生儿窒息复苏的应用价值  

The observation of application value on laryngeal mask airway for resuscitating asphyxia of newborn

作　　者：乔静 姜赤秋 

机构地区：[1]湖北省中山医院,湖北武汉430000

出　　处：《吉林医学》2013年第14期2653-2654,共2页Jilin Medical Journal

摘　　要：目的:观察喉罩通气对新生儿窒息复苏的应用价值。方法:选取发生窒息的新生儿58例,将新生儿根据不同的通气模式分为气管插管组和喉罩组两组,观察两组新生儿的Apgar评分、气管插管和喉罩通气的置入时间、一次放置成功率以及正压通气时间和致死率。结果:两组新生儿5 min Apgar评分0～3分、4～7分和≥8分的发生率对比,差异具有统计学意义(P<0.05)。喉罩通气组在置入时间、一次放置成功率以及正压通气时间方面显著优于气管插管组的新生儿,差异具有统计学意义(P<0.05)。应用气管插管组抢救的新生儿出现1例死亡,应用喉罩通气抢救组的新生儿没有出现死亡,两组新生儿致死率比较,差异无统计学意义(P>0.05)。结论:喉罩通气对于新生儿窒息的复苏,具有简单、快速和有效通气的效果,值得在临床中进行推广应用。Objective Objective：To observe the application value on laryngeal mask airway for resuscitating asphyxia of newborn. Methods 58 cases of asphyxia newbron in our hospital were chosed in our research, and divided into tracheal intubation group and laryn- geal mask airway group according to the difference of the ventilation mode, the newbron in tracheal intubation group was 31cases, while the newborn in laryngeal mask airway group was 27 cases. The newborn in both of the groups can＇ t recover with the neonatal over the same period, and taken the above corresponding recovery. The Apgar score, the insersion time of intubation and laryngeal mask airway, the once place success rate, the positive pressure ventilation time and the mortality of the newborn were observed. Results The comparison of 5 minite Apgar score of 0 - 3 points, 4 - 7 points and greater or equal to 8 points incidence between the two groups was statistically signifi- cant （P 〈 0.05）. The insersion time, the once place success rate and the positive pressure ventilation time of the laryngeal mask airway group was significantly better than tracheal intubation group, and the difference was statistically significant （ P 〈 0.05 ）. 1 death of newborn was shown in the tracheal intubation group, while there was no death in the laryngeal mask airway group. Therfore, in the aspects of mor- tality, the difference between the two groups was not significant, they are not statistically significant （ P 〉 0.05 ）. Conclusion laryngeal mask airway is simple, fast and effective ventilation for the recovery of newborn asphyxia, which is worth popularization and application in clinical.

关 键 词：喉罩通气 气管插管 新生儿窒息 复苏 

分 类 号：R722.1[医药卫生—儿科]