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目前,新生儿窒息的诊断标准尚未完全统一,临床上单纯依据Apgar评分判定时,主观因素影响较大[1];而加入脐动脉血气分析作为诊断指标也存在敏感性或特异性较低问题,因此,探讨联合多项指标作为新生儿窒息的综合诊断标准具有重要意义[2]。有研究显示,新生儿脐动脉血乳酸水平升高与其不良预后相关[3];在宫内窒息的新生儿出生后其动脉血乳酸水平较非窒息新生儿明显升高[4]。本文检测不同分娩方式出生的新生儿脐动脉血pH值和乳酸水
At present, the diagnostic criteria for neonatal asphyxia have not yet been completely unanimous. Subjective factors are greatly affected when clinically based on the Apgar score [1]. However, there is also a problem of low sensitivity or specificity when using umbilical arterial blood gas analysis as a diagnostic indicator, Therefore, to explore a combination of a number of indicators as a comprehensive diagnostic criteria for neonatal asphyxia is of great significance [2]. Studies have shown that elevated neonatal umbilical artery blood lactate levels associated with its poor prognosis [3]; neonatal asphyxia neonatal arterial blood lactate levels were significantly higher than non-asphyxia neonates [4]. This article examines different birth modes of neonatal umbilical arterial blood pH and lactic acid water