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[新生儿阿氏评分与母血及脐血气分析结果的相关性]

[Correlation between neonatal Apgar scores and the results of maternal and umbilical cord blood gas analysis].

作者信息

Lu Y

机构信息

Second and Third Hospital, China Medical University.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1991 Jul;26(4):205-8, 250.

PMID:1914653
Abstract

The correlation between the Apgar scores of 162 neonatal 1 minute after birth and the result of maternal arterial and umbilical cord blood gas analysis was studied. The results were as follows: (1) With decreasing neonatal Apgar score, the value of the pH, PO2, HCO3, TCO2 and actual base excess (ABE) of the maternal arterial and umbilical cord blood also decreased markedly, while the PCO2, except that of the maternal arterial blood, increased obviously, and mixed acid base imbalance and hypoxemia also significantly increased (P less than 0.01). (2) Of the neonates with umbilical arterial blood pH less than or equal to 7.2, the proportion of neonates with Apgar score less than or equal to 3 amounted to 100%; that with on Apgar score of 4-7, was 77.7%; And that with on Apgar score of 8-10, was 56.31%. The difference was highly significant statistically (P less than 0.01).

摘要

研究了162例新生儿出生后1分钟的阿氏评分与母体动脉血及脐带血气分析结果之间的相关性。结果如下:(1)随着新生儿阿氏评分降低,母体动脉血及脐带血的pH值、PO2、HCO3、TCO2及实际碱剩余(ABE)值也显著降低,而除母体动脉血PCO2外,其他PCO2明显升高,混合性酸碱失衡及低氧血症也显著增加(P<0.01)。(2)脐动脉血pH值≤7.2的新生儿中,阿氏评分≤3分的新生儿比例达100%;阿氏评分为4 - 7分的占77.7%;阿氏评分为8 - 10分的占56.31%。差异具有高度统计学意义(P<0.01)。

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