The Detecting Values of Gastric pH for Neonatal asphyxia / 昆明医科大学学报

ABSTRACT

Objective To investigate the detecting values of gastric pH for the neonatal asphyxia.Methods: From August 2013 to February 2015 in our hospital, 78 asphyxia were randomly and equally divided into the observation group and control group.All cases were given gastric pH testing, digestion tract bleeding Monitoring, reflux conditions and routine procedure for treatment.The patients in the observation group received Smecta treatment on the basis of conventional therapy.Results The gastric pH values at 72 h and 48 h after treatment in the observation group were significantly higher (P＜0.05) , and showed a rising trend, the gastric pH values at 24 h after treatment had no statistically significant between two groups.The upper gastrointestinal bleeding rates in the observation group during treatment were 5.1％, which was significantly lower than the control group (23.1％) (P＜0.05).The reflux continued ≥5 min frequency and longest reflux time in the observation group were significantly less than the control group, the differences were statistically significant (P＜0.05).Conclusion For neonatal asphyxia, the gastric pH determination can effectively detect gastrointestinal bleeding and gastroesophageal reflux, the early applying of Smecta intervention can increase gastric pH value, improve neonatal outcomes.