摘要
Abstract
Objective:To evaluate the clinical effect of endotracheal suction within 4 h after asphyxia resuscitation on meconium aspiration syndrome (MAS) in neonates.Methods:From August 2011 to May 2016,97 neonates with MAS treated in our hospital were selected and randomly divided into an observation group (49 cases) and a control group (48 cases).The children in the observation group received endotracheal suction followed by conventional treatment,while those in the control group only received conventional treatment.The mechanical ventilation time,duration of oxygen therapy,antibiotics level,using time of antibiotics and the incidence of complications were compared between the two groups.Results:There were statistical differences in the mechanical ventilation time,duration of oxygen therapy,antibiotics level,the using time of antibiotics and fading time of chest lesions between the two groups (P ＜0.001).The incidence of persistent pulmonary hypertension of newborn (PPHN) in the observation group was significantly lower than that in the control group (P ＜0.001).Conclusion:Endotracheal suction within 4 h after asphyxia resuscitation could effectively reduce mechanical ventilation and oxygen therapy duration,antibiotic use,antibiotic level and the incidence of PPHN as well as promote chest lesions subsided in neonates with MAS.关键词
新生儿胎粪吸入综合征/气管内吸引术/窒息复苏Key words
neonatal meconium aspiration syndrome/endotracheal suction/asphyxia resuscitation分类
医药卫生
