T组合心肺复苏仪在新生儿复苏中的应用  

Application of T-piece combined cardiopulmonary resuscitation in neonatal resuscitation

作　　者：张静[1] 张旭林[1] 周彬[1] 赵清石[1] 王静[1] 

机构地区：[1]东南大学医学院附属徐州医院儿科,江苏徐州221009

出　　处：《中西医结合护理（中英文）》2016年第5期84-86,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨T组合心肺复苏仪在新生儿复苏中的应用效果。方法 158例发生窒息的活产新生儿随机分为对照组和观察组,各79例;对照组采用常规复苏方法,使用传统自动充气式复苏囊,观察组在对照组常规工作基础上使用T组合心肺复苏仪。观察2组复苏期间的1、5、10 min Apgar评分,动脉血气分析,并观察2组复苏成功率和肺气漏率。结果观察组1、5、10 min Apgar评分均显著高于对照组(P<0.05或P<0.01),2组新生儿血气分析各指标比较差异无统计学意义(P>0.05);观察组新生儿气漏率为0.0%(0/79)显著低于对照组的7.6%(6/79),复苏成功率为97.5%(77/79)显著高于对照组的82.3%(65/79)(P<0.05)。结论 T组合心肺复苏仪操作简单,能有效避免肺气漏的发生,提高复苏成功率。Objective To investigate the efficacy of T-piece combined cardiopulmonary resuscitation in neonatal resuscitation. Methods A total of 158 newborns with neonatal asphyxia were randomly divided into the control group and the observation group, with 79 cases in each group. The control group was treated with conventional cardiopulmonary resuscitation by self-inflating bag, while the observation group was applied with T-piece combined conventional cardiopulmonary resuscitation. The Apgar score at 1, 5, and 10 minutes after cardiopulmonary resuscitation was observed and arterial blood gas analysis was performed in both groups. The resuscitation success rate and incidence of pul-monary air leak were compared between two groups. Results The Apgar score at 1, 5, and 10 minutes were higher in the observation group than those in the control group （P 〈0.05 o r P 〈0.01）. There was no significant difference in arterial blood gas analysis between two groups （ P 〉0. 05） . The observation group had a lower incidence of pulmonary air leak compared with the control group （0.0% vs. 7. 6 % , P 〈 0. 05 ） , and a higher resuscitation success rate compared with the control group （97. 5 % vs. 82. 3 % ） . Conclusion T-piece combined cardiopulmonary resuscitation can reduce the risk of pulmonary air leak and improve the efficacy of neonatal resuscitation.

关 键 词：T组合心肺复苏仪 新生儿 窒息 肺气漏 

分 类 号：R473.72[医药卫生—护理学]