评估新生儿出生复苏期间心电图对心率评估的功效:一项前瞻性观察研究。

IF 1.9 Q2 EMERGENCY MEDICINE Clinical and Experimental Emergency Medicine Pub Date : 2024-10-16 DOI:10.15441/ceem.24.245
Kee Hyun Cho, Hyun Su Lee, Eun Sun Kim
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引用次数: 0

摘要

研究目的本研究旨在评估在高危新生儿复苏期间,心电图与脉搏血氧仪在检测心率(HR)方面的功效:方法:对高危分娩病例进行前瞻性观察研究,测量检测心率所需的时间。结果:对 41 名婴儿进行了分析:研究分析了 41 名婴儿,其中 11 名需要复苏。9 名婴儿出生时体重为 36 千克。心电图从放置到检测心率的时间明显快于 PO 检测时间[30(20-43.5)秒 vs. 125(100-175)秒,PP=0.039]:结论:与 PO 相比,ECG 能有效评估新生儿复苏期间的心率。结论:与 PO 相比,心电图能有效评估新生儿复苏过程中的心率,经常需要复苏的低胎龄婴儿可受益于附近标准心电图的心率评估。
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Assessing the efficacy of electrocardiogram for heart rate evaluation during newborn resuscitation at birth: a prospective observational study.

Objective: This study aimed to assess the efficacy of electrocardiogram (ECG) compared to pulse oximetry (PO) in detecting heart rate (HR) during high-risk newborn resuscitation.

Methods: A prospective observational study was performed with high-risk delivery cases to measure the time required for HR detection. A conventional PO and a standard ECG monitor were used for HR assessment.

Results: Forty-one infants were analyzed in the study, and 11 among them needed resuscitation. Nine were <32 gestational weeks (GA), 28 were 33-35 GA, and 4 were >36 GA at birth. ECG time for placement to HR detection was significantly faster than PO detection [30 (20-43.5) vs. 125 (100-175) seconds, P<0.001]. ECG time for placement to HR detection was the fastest in the infants below 32 GA at birth [19 (11.5-30) vs. 34.5 (25-44.25) vs. 39.5 (30-64.75) seconds, P=0.039).

Conclusion: ECG effectively evaluated HR during neonatal resuscitation compared to PO. Low gestational age infants who need resuscitation often may benefit in HR evaluation with nearby standard ECG.

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来源期刊
CiteScore
2.80
自引率
10.50%
发文量
59
期刊最新文献
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