微创胎粪吸引技术在羊水Ⅲ°粪染新生儿中的应用效果

Abstract
Figure/Table
References (16)
Related Citation (15)

Download: PDF (0 KB) HTML (32 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application effect of minimally invasive meconium aspiration technique in neonates with third-degree fecal staining of amniotic fluid.Methods A total of 86 newborns admitted to the neonatal intensive care unit after birth with third-degree amniotic fluid in the Department of Obstetrics of Pengpai Memorial Hospital of Haifeng County Affiliated to Guangdong Medical University from January to June 2019 were selected as the research subjects.They were divided into the observation group (n=43) and the control group (n=43) by the random number table method.Both groups underwent meconium aspiration on the assessment of inactivity.In the control group,the common tracheal intubation followed by a meconium aspirator was used,and in the observation group,the minimally invasive meconium aspiration technique was adopted,that was,guiding the suction tube into the glottis under the laryngoscope for meconium suction.The number of meconium suctions,operation time,clinical symptoms after treatment,chest radiograph results,hospitalization time and incidence of complications were compared in the two groups.Results There was no statistically significant difference in the number of meconium suctions between the two groups (P＞0.05).The operation time of the observation group was shorter than that of the control group,and the difference was statistically significant (P＜0.01).There was no statistically significant difference in the proportion of requiring ventilator assisted ventilation between the two groups (P＞0.05).The proportion of laryngeal injuries (edema or hemorrhage) in the observation group was lower than that in the control group,and the difference was statistically significant (P＜0.05).The results of chest radiograph between the two groups indicated that there was no statistical difference in the proportion of meconium aspiration syndrome or the proportion of air leak syndrome (P＞0.05).There was no statistically significant difference in hospitalization time between the two groups (P＞0.05).Conclusion The minimally invasive meconium suction technique is safe and effective for amniotic fluid third-degree fecal-stained and inactive newborns who do not need tracheal intubation to resuscitate after birth,the operation time is short,and the incidence of complications such as laryngeal injuries after operation is lower.

Key words： Minimal invasion Fecal staining of amniotic fluid Meconium aspiration technique Neonatal resuscitation

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIN Jian-feng
	ZHANG Xiao-yan

Cite this article:

LIN Jian-feng,ZHANG Xiao-yan. Application effect of minimally invasive meconium aspiration technique in neonates with third-degree fecal staining of amniotic fluid[J]. 中国当代医药, 2021, 28(6): 87-89转93.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I6/87

[11]	陈梅芳.胎粪吸入综合征的临床研究进展[J].临床医学，2016，36（6）：126-128.
[12]	宁碧雯，梁领华.气管插管气道清洗治疗胎粪吸入综合征的临床研究[J].中国卫生产业，2012，9（33）：127.
[13]	苏晋琼，朱小瑜，张谦慎，等.应用胎粪吸引管气管内吸引防治胎粪吸入综合征的临床效果分析[J].中华围产医学杂志，2009，12（1）：28-31.
[1]	罗晓鸿，赖延忠，杨东福，等.应用胎粪吸引管气管内吸引防治胎粪吸入综合征的临床效果分析[J].中国现代药物应用，2017，11（20）：1-3.
[2]	Aguilar AM，Vain NE.The suctioning in the delivery room debate[J].Early Hum Dev，2011，87（Suppl 1）：S13-15.
[3]	邵肖梅，叶鸿瑁，丘小汕.实用新生儿学[M].4 版.北京：人民卫生出版社，2011：398-401.
[4]	石永言，富建华.《2015 美国新生儿复苏指南》解读[J].中国实用儿科杂志，2016，31（6）：401-404.
[5]	Vain NE，Musante GA，Mariani GL.Meconium stained newborns：ethics for evidence in resuscitation[J].J Pediatr，2015，166（5）：1109-1112.
[6]	Plosa EJ.Meconium Aspiration.In：Cloherty and Stark′s Manual of Neonatal Care[M].8th ed.Philadelphia：Wolters Kluwer，2017：161-166.
[7]	中国新生儿复苏项目专家组.中国新生儿复苏指南（2016年北京修订）[J].中国新生儿科杂志，2016，31（4）：241-246.
[8]	王铭杰，岳少杰.胎粪吸入对新生儿的影响与临床管理[J].发育医学电子杂志，2019，7（1）：13-18.
[9]	Walker J.Foetal anoxia：a clinical and laboratory study[J].J Obstet Gynaecol Br Emp，1954，61（2）：162-180.
[10]	李小玲.羊水胎粪污染的研究现状[J].按摩与康复医学，2019，10（6）：59-61.
[14]	霍梦月，梅花，张钰恒，等.肺表面活性物质治疗胎粪吸入综合征临床疗效的Meta分析[J].中国小儿急救医学，2018，25（7）：541-545.
[15]	苏晋琼，朱小瑜，杨传忠，等.体位引流辅助气管吸引对胎粪吸入综合征的防治效果[J].中国小儿急救医学，2010，17（5）：421-423.
[16]	戴怡蘅，刘卫东，高平明.两种气管吸引方法抢救羊水粪染新生儿的疗效比较[J].岭南急诊医学杂志，2006，11（4）：309-310.