目的：探讨和分析小儿喉罩( PLMA)在新生儿复苏抢救过程中的临床应用方法和效果。方法选取本院救治的重症窒息新生儿患者共78例，按照随机的原则分成PLMA组与气管插管组，在采用不同的方法后，观察和对比两组患者的心率（HR）变化以及有关并发症发生状况。结果喉罩组患者的心率在置入前和拔除即刻分别为（137.8±15.9）和（141.2±14.8）次/min，其差异没有统计学意义（P>0.05）。气管插管组患者在置入和拔除即刻的心率指标出现明显的升高，分别为（138.0±14.8）和（156.3±15.3）次/min，和喉罩组患者对比，存在显著的差异(P<0.01)；喉罩组患者的并发症发生率为5.1%，明显低于气管插管组患者（23.1%），该两组患者的并发症发生状况对比，存在明显的差异（P<0.05），具有存在统计学意义。结论在新生儿抢救复苏过程中，运用PLMA通气，有着操作简单、安全快捷和应激反应小的优点，值得在临床中推广和使用。%Objective To explore and analyze the children with laryngeal mask airway (PLMA) in neonatal resuscitation clinical application method and effect of the rescue process. Methods The hospital treatment of severe neonatal asphyxia 78 cases, in ac-cordance with the principle of randomly divided into PLMA group and endotracheal intubation group,while using different methods, observed and compared two groups of patients with heart rate (HR) changes and the complications incidence.Results The LMA group in patients with heart rate before and after the insertion and removal of contrast, there is no significant difference (P>0.05). Endotracheal intubation group patients with obvious in crease in heart rate and implantation after extraction, and LMA group were compared, there was a significant difference (P<0.01); laryngeal mask group were significantly lower than the rate of complications in patients with tracheal intubation group, the two groups of patients condition comparison, there are obvious differences ( P<0.05), there were statistical significance with. Conclusion In the neonatal resuscitation process, using PLMA ventilation, has the advan-tages of simple operation, safe and less stress reaction, worthy of clinical popularization and application.
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