纳洛酮抢救新生儿呼吸衰竭66例疗效观察.doc

精品论文 参考文献 纳洛酮抢救新生儿呼吸衰竭66例疗效观察 陕西省白水县医院儿科 715600 【摘 要】目的 探讨纳洛酮在抢救新生儿呼吸衰竭的临床疗效。方法 对我院儿科2006年2月至2009年2月收治的新生儿呼吸衰竭66例患儿，按入院单双日随机分为两组，观察组34例，对照组32例，并对其8-12小时内临床症状和桡动脉血气资料进行分析及统计学处理。结果 观察组8-12小时内有效率明显高于对照组，且其死亡率明显低于对照组，两组血气资料经统计学t检验处理，存在显著性差异（ plt;0.05）。结论 针对病因治疗原发病的同时，纳洛酮在第一时间抢救新生儿呼吸衰竭过程中，取得了满意的疗效，大大地降低了危重新生儿的病死率。 【关键词】纳洛酮 新生儿 呼吸衰竭 How to save the new born children whose breath are exhausting through 66th medical observation by using naloxone Hao Hui-Min Wang Hong-Xia The Paediatrics of Bai Shui Hospital in Shanxi Province 715600 【Abstract】Objective: Inquiring into the clinical effect of saving the new born children whose breath are exhausting by using naloxone. Methods: Analyze and deal with the 66 case new born Childrenrsquo;s breathing exhaustion who were in our hospital in Feb，2006to Feb，2009.We divided them into two groups by coming into hospital in single or double days .There were 34 cases of observing group and 32 cases of comparing group.And we notice their clinical manifestation from 8 to 12 hours. Results: The clinical effect of observing group in 12 hours is obviously higher than the comparing group .At the same time the death rate is obviously lower than the comparing group .The two group抯 blood material is obviously different by dealing with the statistics tt（plt;0.05）. Conclusions: We have obtained the satisfied clinical effect and have greatly reduced the death rate of the serious new born children during the course of saving the new born children whose breath are exhausting by using naloxone. 【Key words】Naloxone，New born children，Breathing exhaustion 【中图分类号】R722【文献标识码】A【文章编号】2096-0867（2016）-08-034-02 新生儿呼吸衰竭是新生儿期危重症之一，死亡率极高。我院儿科自2006年2月以来，在常规综合治疗的基础上，采用纳洛酮抢救新生儿呼吸衰竭66例，取得了较显著的临床效果，现报告如下。 1 资料和方法 1.1 一般资料：2006年2月至2009年2月，我院收治新生儿呼吸衰竭共66例，其中男38例，女28例，足月儿45例，早产儿21例，入院日龄1-5天，平均2天，且所有患儿体重均ge;1500克。原发病包括：新生儿缺氧缺血性脑病27例，新生儿败血症9例，新生儿颅内出血12例，胎粪吸入综合症11例，新生儿透明膜病7例。所有患儿入院均有明显的呼吸困难、三凹症、呻吟，测桡动脉血气分析证实有低氧血症（PaO2