两步法助产在新生儿清理呼吸道中的应用效果  

Application effect of midwifery two-step in neonatal respiratory tract clearance

作　　者：刘莹 欧琴 刘冠俐 LIU Ying;OU Qin;LIU Guanli(Department of Obstetrics,Yantian District People's Hospital,Guangdong,Shenzhen 518000,China)

机构地区：[1]深圳市盐田区人民医院产科,广东深圳518000

出　　处：《中国医药科学》2020年第8期91-93,169,共4页China Medicine And Pharmacy

摘　　要：目的探讨两步法助产在新生儿清理呼吸道中的应用效果。方法选取2014年3月~2018年3月本院收治的新生儿200例,依据随机数字表法分为两助组和常规组,每组100例,常规组给予常规助产,两助组在此基础上给予两步法助产,比较两组咽下综合征、呕吐、Apgar评分。结果两助组咽下综合征发生率为18.00%,明显低于常规组的33.00%,差异有统计学意义(P<0.05);两助组呕吐次数(1~3次)、呕吐量(>5mL)明显低于常规组,差异有统计学意义(P<0.05);两助组1min的Apgar评分(8~10分)明显高于常规组,差异有统计学意义(P<0.05),两组5min的Apgar评分比较,差异无统计学意义(P>0.05)。结论两步法助产可有效改善新生儿的呼吸道清理效果,可有效减少新生儿咽下综合征、呕吐的发生,有利于促进新生儿呼吸的恢复,值得临床作进一步推广。Objective To explore the application effect of midwifery two-step in neonatal respiratory tract clearance.Methods 200 cases of neonates admitted to our hospital from March 2014 to March 2018 were selected and randomly divided into midwifery two-step group and conventional group according to the random number table method,with 100 cases in each group.The conventional group was given conventional midwifery,while the midwifery two-step group was given midwifery two-step on this basis.The two groups were compared for swallowing syndrome,vomiting and Apgar score.Results The incidence of swallowing syndrome in the midwifery two-step group was 18.00%,which was significantly lower than that in the conventional group(33.00%).The difference was statistically significant(P<0.05).The number of vomiting(1-3 times)and amount of vomiting(>5mL)in the midwifery two-step group were significantly lower than those in the conventional group,and the differences were statistically significant(P<0.05).1-minute Apgar score(8-10)of the midwifery two-step group was significantly higher than that of the conventional group,and the difference was statistically significant(P<0.05).There was no significant difference in 5-minute Apgar score between the two groups(P>0.05).Conclusion The midwifery two-step can effectively improve the respiratory clearance effects of newborns,which can effectively reduce the incidence of swallowing syndrome and vomiting in neonates.Therefore,it is conducive to promoting the recovery of newborn breathing,and is worthy of further clinical promotion.

关 键 词：两步法 助产 新生儿 清理 呼吸道 

分 类 号：R717[医药卫生—妇产科学]