Simplified assessment of asphyxia at birth
Simplified assessment of asphyxia at birth
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DOI：
10.1093/tropej/43.2.108
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发表时间：
1997-04-01
影响因子：
2
通讯作者：
Dhall, K
中科院分区：
文献类型：
--
作者：
Ghosh, D;Bhakoo, ON;Dhall, K
对新生儿出生后不久的简易临床评估方法进行了评价，并与脐带血pH值和1 min Apgar评分进行了比较。评估记录了哭泣、呼吸、颜色、活动、反射反应和脊髓搏动。研究了62例正常阴道分娩的足月新生儿，1 min Apgar评分为0-6分（n = 31）和7-10分（n = 31）。使用线性相关系数（r）和Goodman相关系数（gamma）进行统计学比较。cry、颜色和活性的组合显示与脐带血pH（r = 0.3842，P < 0.01，γ = 0.7138）和1 min Apgar评分（r = 0.7768，P < 0.01，γ = 0.9393）的最佳相关性，并且与所有6个临床参数的组合一样有用。可以安全地教导不识字的传统助产士使用哭声、颜色和活动来评估婴儿出生时的状况。
A simplified clinical method of assessment of the baby soon after birth was evaluated and compared with the cord blood pH and 1 min Apgar score. The assessment recorded cry, respiration, colour, activity, reflex response, and cord pulsation. Sixty-two neonates born at term by normal vaginal delivery with 1 min Apgar score of 0-6 (n = 31) and 7-10 (n = 31) were studied. Linear correlation coefficient (r) and Goodman's correlation coefficient (gamma) were used for statistical comparison. A combination of cry, colour and activity showed the best correlation with cord blood pH (r = 0.3842, P < 0.01: gamma = 0.7138) and 1 min Apgar score (r = 0.7768, P < 0.01, gamma = 0.9393) and was as useful as the combination of all the six clinical parameters. Illiterate traditional birth attendants can be safely taught to use cry, colour, and activity for assessing baby's condition at birth.