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首页> 外文期刊>Journal of Clinical Sciences >Hypoxic-ischemic encephalopathy and the Apgar scoring system: The experience in a resource-limited setting
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Hypoxic-ischemic encephalopathy and the Apgar scoring system: The experience in a resource-limited setting

机译：缺氧缺血性脑病和Apgar评分系统：在资源有限的环境中的经验

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Introduction: Virginia Apgar developed the Apgar scoring which has shown relevance in assessing the general well-being of the newborn at delivery and also determining the response and effectiveness of resuscitation. This includes the 1st, 5th, and even the 10th and 20th min scores. However, the first and fifth scores have been severally used in defining perinatal asphyxia. This study, therefore, seeks to assess the performance of Apgar scoring in a resource-limited setting in determining hypoxic-ischemic encephalopathy (HIE). Materials and Methods: This was a retrospective study. The medical records of 142 admitted newborns with a diagnosis of perinatal asphyxia were reviewed over a 1-year period. Results: There were 86 males and 56 females with perinatal asphyxia and a male-to-female ratio of 1.5:1. Most cases had a 1 min Apgar score in the range of 4–5 (62.0%), whereas using the 5th min Apgar score, majority of the cases had scores of 6 and more. Sixty-five cases (45.8%) had HIE, whereas Stage 1 HIE was the most recorded form of encephalopathy. The 1st min Apgar scoring showed that most cases with a score of 4–5 had Stage 1 HIE, whereas all the nine cases with Stage 3 HIE had a score of 0–3 (Fisher's exact test = 132.074; P = 0.00); furthermore, most cases with Stage 1 HIE had a 5 min score of 6 and above, but all the cases with Stage 3 HIE had a score between 4 and 5 (Fisher's exact test = 49.024; P = 0.00). Conclusion: The Apgar score still remains an important tool in neonatal resuscitation and monitoring; asphyxiated neonates need to be actively and effectively resuscitated.
机译：简介：弗吉尼亚·阿普加（Virginia Apgar）开发了阿普加（Apgar）评分，该评分在评估新生儿分娩时的总体健康状况以及确定复苏的反应和有效性方面具有相关性。这包括第一，第五，甚至第十和第二分钟的分数。然而，第一和第五得分已被用于定义围产期窒息。因此，本研究旨在评估Apgar评分在资源有限的环境下确定缺氧缺血性脑病（HIE）的表现。材料和方法：这是一项回顾性研究。在一年的时间内，对142例确诊为围生期窒息的入院新生儿的病历进行了回顾。结果：围生期窒息男86例，女56例，男女之比为1.5：1。大多数病例的1分钟Apgar评分在4-5之间（62.0％），而使用5分的Apgar评分，大多数病例的6分以上。 65例（45.8％）患有HIE，而1期HIE是记录最多的脑病形式。 Apgar的第一分钟评分显示，大多数得分为4–5的病例具有1期HIE，而所有9例患有3期HIE的病例均具有0–3（Fisher精确检验= 132.074; P = 0.00）;此外，大多数具有1期HIE的病例的5分钟得分均达到6分及以上，但所有具有3期HIE的病例的得分均在4至5分之间（Fisher精确检验= 49.024; P = 0.00）。结论：Apgar评分仍然是新生儿复苏和监测的重要工具。被窒息的新生儿需要积极有效地复苏。

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