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目的:明确对羊水混浊且有活力的新生儿进行气道内胎粪吸引的必要性。方法:选取在我院羊水3度浑浊但顺产娩出有活力的足月新生儿300例,其中150例作为干预组在新生儿娩出时进行气道内胎粪吸引,另外150例作为对照组按照窒息复苏指南要求只进行常规清理呼吸道处理。分析比较两组新生儿出生后1、6、24、48 h间呼吸、肤色、血气结果、胸片表现、疾病恢复时间、吸氧时间及呼吸机通气时间。结果:干预组呼吸道症状及并发症明显少于对照组,疾病恢复时间也明显优于对照组,且未出现因气管插管引起的黏膜损伤、声嘶、气胸等并发症。结论:对羊水混浊新生儿无论有无活力均由经验技术熟练的新生儿专科医生进行气道内胎粪吸引有利于减少呼吸道并发症,缩短疾病恢复时间,且不会造成气道损伤等并发症,建议常规应用。
Objective: To clarify the necessity of airway meconium aspiration in a turbid and viable newborn with amniotic fluid. Methods: Three hundred full-term newborns were delivered with turbidity produced by 3 degrees of amniotic fluid in our hospital. Among them, 150 cases were used as intervention group to induce airway meconium as the newborn infants. Another 150 cases were used as control group to recover asphyxia The guideline requires only regular routine airway clearance. The respiratory, skin color, blood gas results, chest radiograph, disease recovery time, oxygen inhalation time and ventilator ventilation time were analyzed and compared between the two groups at 1, 6, 24 and 48 h after birth. Results: The symptoms and complications of the respiratory tract in the intervention group were significantly less than those in the control group, and the recovery time was also significantly better than that in the control group. No complications such as mucosal injury, hoarseness, pneumothorax were found due to tracheal intubation. Conclusion: Neonatal turbid newborn with or without vitality by experienced skilled neonatal airway meconium aspiration is conducive to reduce respiratory complications and shorten the recovery time of the disease, and will not cause airway injury and other complications, Recommended for routine use.