高氧液治疗胎儿窘迫的临床研究

目的探讨高氧液在胎儿窘迫治疗中的作用,为其治疗胎儿窘迫提供依据。方法选取因胎儿窘迫需行剖宫产孕妇70例,随机分为2组,治疗组(TG)40例术中静脉输注高氧液;对照组(CG)30例静脉输注50 g/L葡萄糖溶液。对两组母体血进行血气分析,同时检测胎儿脐静脉血超氧化物歧化酶(SOD)、丙二醛(MDA),进行血气指标检测及新生儿Apgar评分。结果治疗组母体血PaO2与对照组相比明显升高(P<0.05)。治疗组胎儿脐静脉SOD较对照组明显升高,MDA明显下降(P<0.05);PO2、SaO2、HCO3-、BE较对照组明显升高,PCO2明显降低(P<0.05);新生儿Apgar评分明显高于对照组(P<0.05)。结论高氧液可以有效改善宫内胎儿窘迫的缺氧状态,为进一步治疗胎儿窘迫争取宝贵时间。

Clinical research of fetus distress treated with hyperoxin liquid

Objective To observe the effect of fetus distress treated with hyperoxin liquid and to provide evidence for this treatment.Methods A total of 70 lying-in women with fetus distress during cesarean section were randomly divided into two groups: treatment group was given infusion of hyperoxin liquid by vein and control group was given 50g/L glucose.The blood gas was analyzed in the two groups,and the SOD and MAD of fetus ambilical blood were also tested.The blood gas analysis and the Apgar scoring of neonates were carried out.Results The PaO2 in pregnant and lying-in women and SOD,PO2,SaO2,HCO-3 and BE of fetuses in treatment group were obviously higher than those in control group.The MDA and PCO2 were significantly lower than those in control group.The Apgar score in treatment group was better than that in control group.Conclusion Hyperoxin liquid can improve the anoxia status of fetus distress and save time for further clinical treatment.