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目的:探讨5葡萄糖+5碳酸氢钠直肠灌注对新生儿窒息的疗效。方法:将产后窒息的新生儿300例随机分为两组,治疗组188例采用5葡萄糖+5碳酸氢钠(按新生儿体重1~2ml/kg)直肠灌注;对照组112例采用脐静脉注射5碳酸氢钠5ml。结果:两组新生儿在用药后Apgar评分无显著性差异(P>0.05),但在抢救时间上有显著差异(P<0.01)。结论:5葡萄糖+5碳酸氢钠直肠灌注,方法简单,能迅速纠正代谢性酸中毒,改善新生儿窒息,恢复自主呼吸,减少新生儿并发症,降低死亡率,提高新生儿的生存质量。
Objective: To investigate the effect of 5 glucose + 5 sodium bicarbonate rectal infusion on neonatal asphyxia. Methods: 300 neonates with postpartum asphyxia were randomly divided into two groups. 188 cases in the treatment group were reperfused with 5% glucose and 5% sodium bicarbonate (according to the neonatal body weight of 1 ~ 2ml / kg). In the control group, 5 sodium bicarbonate 5ml. Results: There was no significant difference in Apgar score between the two groups (P> 0.05), but there was significant difference in the rescue time (P <0.01). Conclusion: 5 glucose +5 sodium bicarbonate rectal infusion, the method is simple, can quickly correct metabolic acidosis, improve neonatal asphyxia, spontaneous breathing recovery, reduce neonatal complications, reduce mortality and improve the quality of life of newborns.