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

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

苏晋琼;朱小瑜;张谦慎;杨传忠;袁世新

【期刊名称】《中华围产医学杂志》 【年(卷),期】2009(012)001

【摘要】Objective To determine if endotracheal intubation and suction of the airways of meconium-stained babies at birth is more beneficial in preventing meconium aspiration syndrome (MAS)than endotracheal intubation and lavage,and to study the relationship of the incidence of meconium aspiration with vigorous of infants at birth. Methods Four hundred and ninety-five infants born through thick meconium-stained amniotic fluid were randomized to either suction group or lavage group from Jan.2004 to Dec.2006.Infants were routinely endotreacheal intubated at birth, 249 infants of the suction group were aspirated after flapping back and postural drainage and 246 infants of the lavage group were treated with tracheobronc hial lavage with saline.The morbidities,complication and prognosis of MAS were compared between the two groups. Results The incidence of MAS was 7.6%and 11.4%in the suction group and the lavage group respectively(x2=2.45,P＞0.05).But the incidence of severe MAS was significant lower in the suction

group(0.8%,2/249)than

in

the

lavage

group(4.5%,11/246)(x2=6.51,P＜0.05).The rate of mechanical ventilation