血氧灌注指数在足月儿休克中的应用效果评价  

Effect evaluation of perfusion index in full-term neonates with shock

作　　者：徐南[1,2] 徐杰[1] 李函[2] 邱秀娟 乔立兴[2] XU Nan;XU Jie;LI Han;QIU Xiujuan;QIAO Lixing(Department of Pediatrics,Wuxi Branch o f Zhongda Hospital Affiliated to Southeast University,Wu i,Jiangsu, 214011;Department o f Pediatrics, Zhongda Hospital Affiliated to Southeasp University,Nanjing,Jiangsp 210009)

机构地区：[1]东南大学附属中大医院无锡分院儿科,江苏无锡214011 [2]东南大学附属中大医院儿科,江苏南京210009

出　　处：《实用临床医药杂志》2018年第9期93-95,共3页Journal of Clinical Medicine in Practice

基　　金：2017-2018年度江苏省无锡市卫计委面上项目(MS201655)

摘　　要：目的探讨血氧灌注指数(PI)值在足月新生儿休克中的临床价值。方法选取足月休克新生儿52例,按新生儿休克评分分为轻度休克组(n=16)、中度休克组(n=28)、重度休克组(n=8),在就诊时、治疗24 h、48 h时测定其PI值。选取同期正常足月新生儿48例作为对照组,在出生时、出生后24 h、48 h时测定其PI值。比较各组PI值及预后情况。结果休克新生儿组出生时、出生后24 h、48 h的PI值均显著低于对照组(P<0.05);随着病情严重程度增加,休克新生儿PI值明显下降;经抗休克综合治疗后,各组预后比较差异无统计学意义(P>0.05)。结论足月新生儿发生休克时PI值明显下降。Objective To explore the clinical value of perfusion index（PI） in treatment of full-term infants with shock.Methods Totally 52 full-term neonates were selected and divided into mild shock group（n = 16）,moderate shock group（n = 28） and severe shock group（n = 8） according to neonatal shock score,and PI value was detected at the time points of visiting doctor,24 h and48 h after treatment.Meanwhile,48 normal full-term newborns in the same period were selected as control group,and the PI value was measured at birth,postnatal 24 h and 48 h.The PI value and prognosis was analyzed.Results The PI values at birth,postnatal 24 h and 48 h in neonatal shock group were significantly lower than those in control group（P〈0.05）.With the increase of the severity of the disease,the PI value of neonates with shock decreased significantly,and there were no significant difference among the four groups after anti-shock treatment（P〉0.05）.Conclusion The PI value of full-term neonates with shock significantly decrease.

关 键 词：足月新生儿 休克 血氧灌注指数 严重程度 

分 类 号：R541.6[医药卫生—心血管疾病]