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剖宫产术中新生儿窒息的抢救方法及护理措施探讨

     

摘要

Objective To explore the rescue methods and nursing intervention for neonatal asphyxia in cesarean section. Methods A retrospective analysis was conducted on the clinical data of 218 cases with neonatal asphyxia during cesarean section in the De-partment of Obstetrics of our hospital in recent years. The patients were grouped and given different resuscitation and nursing in-tervention. Results The Apgar scores increased in both groups at the time of 10min after delivery(P<0.05);and the Apgar scores of the observation group were higher at the time of 10min after delivery, P<0.05. Both groups were resuscitated successfully, the over-all success rate of resuscitation was 100%. The newborns in the observation group with successful resuscitation within 5min after delivery were more, accounting for 66.1%. The NACS scores were higher in the newborns resuscitated within 5min after delivery than those in the newborns resuscitated over 5min after delivery in both groups. There was statistically significant difference in the NACS scores in the newborns in the same group at different times, P<0.05. Conclusion For neonatal asphyxia occurred in cesare-an section, strengthened resuscitation and nursing cooperation are needed in order to further increase the rescue success rate, re-duce the mortality and incidence of complications and improve the survival quality of newborns.%目的:探究剖宫产术中新生儿窒息的抢救方法及护理措施。方法对近年在该院产科经剖宫产分娩发生新生儿窒息的218例患儿分组予以不同复苏抢救及护理配合的临床资料进行回顾性分析。结果两组患儿娩出10 min的Apgar评分均得以提高(P<0.05),其中观察组娩出10 min的Apgar评分较高,P<0.05;两组患儿均复苏成功,总复苏成功率均为100%,但观察组5 min内复苏成功者相对较多,占66.1%;两组5 min内复苏患儿的 NACS评分均较>5 min复苏患儿NACS评分高,同组间不同时间NACS评分比较差异具有统计学意义,P<0.05。结论在剖宫产术中,在加强新生儿窒息患儿的复苏抢救的同时,需加强抢救护理配合,以进一步提高抢救成功率,降低死亡率,减少并发症,提高新生儿的生存质量。

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