保暖和矫正通气步骤在新生儿复苏中的操作可行性及重要性  

The feasibility and importance of warm and corrective ventilation steps in neonatal resuscitation in grassroots hospitals

作　　者：刘向荣[1] 李双[2] Liu Xiangrong;Li Shuang(Hejian People's Hospital,Cangzhou,Hebei 062450,China;Tianjin First Central Hospital,Tianjin 300192,China)

机构地区：[1]河北省河间市人民医院,河北沧州062450 [2]天津市第一中心医院,天津300192

出　　处：《首都食品与医药》2024年第16期26-29,共4页Capital Food Medicine

摘　　要：目的观察基层医院新生儿复苏中的保暖措施和矫正通气步骤的操作可行性及重要性.方法选取河间市人民医院2020年1月-2023年1月58例窒息患儿为此次研究对象,按照新生儿复苏过程中保暖措施和矫正通气步骤是否规范、合理,将患儿分为对照组29例:回顾总结保暖或矫正通气步骤有不到位之处;实验组29例,规范保暖措施和矫正通气步骤.结果实验组患儿出生后10分钟、1小时基本生命体征指标均优于对照组,并且显著降低了气管插管及有创呼吸机的使用率,此外,实验组患儿并发症发生率(20.70%)比对照组(55.17%)低,数据差异明显(P<0.05).结论在基层医院新生儿复苏中,规范地进行保暖和矫正通气步骤,操作简单、易行,能显著提高新生儿复苏效果,且极大地降低了气管插管及有创通气的使用率,非常有必要组织产儿科医师重点培训,以达到熟练掌握的程度.Objective The feasibility and importance of observing the operational procedures of warmth preservation and corrective ventilation in neonatal resuscitation at grassroots hospitals.Methods From January 2020 to January 2023,a total of 58 asphyxia patients in our hospital were selected as the study subjects.According to whether the warming measures and corrective ventilation steps during neonatal resuscitation were standardized and reasonable,the patients were divided into two groups.The control group of 29 cases was that the insulation or corrective ventilation steps were not in place in the retrospective summary,and the experimental group of 29 cases was that the insulation and ventilation steps were standardized corrective.Results The 10 minutes postnatal A-score and 1-hour basic vital sign indicators of the experimental group were better than those of the control group.and the use of tracheal intubation and invasive ventilators was significantly reduced.In addition,the incidence of complications in the experimental group(20.70%)was lower than that in the control group(55.17%),and the data difference was significant(P<0.05).Conclusion In neonatal resuscitation at grassroots hospitals,standardized procedures for keeping warm and correcting ventilation are simple and easy to operate,which can significantly improve the success rate of neonatal resuscitation.In addition,it can significantly improve the success rate of neonatal resuscitation,improve prognosis,and greatly reduce the use of tracheal intubation and invasive ventilation.Therefore,it is necessary to organize key training for obstetricians to achieve proficiency.

关 键 词：基层医院 新生儿窒息 保暖 矫正通气步骤 

分 类 号：R722.12[医药卫生—儿科]