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目的:研究深吸及浅吸两种吸痰方法对剖宫产新生儿的影响。方法:选择2007年3~12月在青海省人民医院出生的剖宫产新生儿320例,按住院先后随机分为研究组和对照组,每组160例。研究组采用深吸法清理呼吸道、食管、胃内黏液及羊水;对照组采用口鼻、咽喉部浅吸法清理呼吸道。两组均为母婴同室、母乳喂养。记录新生儿体重下降的最低幅度和回升时间、经皮总胆红素值、新生儿24 h呕吐次数及首排黄便时间。结果:研究组体重下降幅度明显低于对照组(P<0.01),体重回升快(P<0.05);24 h内呕吐次数明显少于对照组(P<0.01);首次排黄便时间早于对照组(P<0.01);黄疸程度明显低于对照组(P<0.01);差异均有统计学意义。结论:对剖宫产新生儿采用深吸法清理呼吸道、食管、胃内黏液及羊水可以减少新生儿呕吐次数,减轻生理性体重下降幅度,缩短胎便的排净时间,减轻黄疸程度。
Objective: To study the effects of deep suction and shallow suction two suction methods on cesarean newborn. Methods: From March to December 2007, 320 newborns of cesarean section born in Qinghai Provincial People’s Hospital were selected and randomly divided into study group and control group according to hospitalization, with 160 cases in each group. The study group used deep suction method to clean the respiratory tract, esophagus, gastric mucus and amniotic fluid; the control group adopted the nasal and throat method to clean the respiratory tract. Both groups were maternal and infant, breast-feeding. Record the lowest amplitude and recovery time of newborn weight loss, percutaneous total bilirubin value, neonatal 24 h vomiting and the first row of yellow stool time. Results: The body weight loss rate of study group was significantly lower than that of control group (P <0.01), body weight recovery was faster (P <0.05), the number of vomiting was less in 24 h than that of control group (P <0.01) (P <0.01). The degree of jaundice was significantly lower than that of the control group (P <0.01). The differences were statistically significant. Conclusion: The deep suction method for neonatal cesarean section to clean the respiratory tract, esophagus, gastric mucus and amniotic fluid can reduce neonatal vomiting, reduce the rate of physiological weight loss, shorten the time of meconium discharge and reduce the degree of jaundice.