新生儿的乳酸和pH值,有过急性胎儿痛苦病史的新生儿
Diana Labastida-García1, Guzmán Díaz-Gabriel2, Fernando López-Díaz1
1Departamento de Ginecología y Obstetricia del Hospital General de Zona No. 20 La Margarita, Órgano de Operación Administrativa Desconcentrada del Instituto Mexicano del Seguro Social de Puebla, Puebla.
Boletin medico del Hospital Infantil de Mexico
|September 13, 2023
概括
带乳酸和pH值可以表明胎儿的痛苦. 新生儿乳酸水平升高和pH值降低,有急性胎儿痛苦史的新生儿与新生儿发病率增加相关.
科学领域:
- 围产儿医学 围产儿医学
- 新生儿科学 新生儿科学
- 生物化学 生物化学
背景情况:
- 急性胎儿应急症 (AFD) 带来危险,包括缺氧,酸化和子宫内死亡,需要及时诊断.
- 带气体分析对于评估新生儿在出生时的状态至关重要.
研究的目的:
- 为了调查带乳酸和pH值在全产期新生儿 (NBs) 具有AFD的历史.
- 为了将这些值与新生儿发病率相关联.
主要方法:
- 在对具有母性AFD风险因素的全期NB进行了横截面研究.
- 新生儿发病率由阿普加尔评分,复苏需要或新生儿重症监护室入院来定义.
- 值得关注的临界值是乳酸盐>4mmol/L和pH<7.2.
主要成果:
- 在33.3%的母亲中存在AFD的孕产妇风险因素.
- 28.7%的NB需要进行高级复苏,7.5%被送往NICU.
- 与没有新生儿发病率的NBs相比,乳酸盐 (4.726 ± 1.401) 和pH值 (7.293 ± 0.056) 的显著增加和降低.
结论:
- 带乳酸水平在具有AFD病史和相关发病率的NB中高出25%.
- 在有AFD病史和相关发病率的NB中,带pH水平下降了1%.
- 这些发现凸显了带气体分析在识别有风险的新生儿方面的实用性.
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