1.Apgar is the initial combination of five English words: skin color, heart rate, response to stimuli, muscle tension and breathing. Apgar score is a method used by most hospitals in China to score the physiological indexes and quality of life of organ system at birth.
Two, medical Apgar scoring criteria are as follows:
1, skin color: 2 points for pink skin, 2 points for pink trunk, 1 point for blue limbs, and 0 point for blue or pale body.
2. Heart rate: 2 points if the heart rate exceeds 0/00 per minute/kloc; If it is less than 100 times per minute, it is 1 minute; If there is no heart rate, it is 0.
3. Response to stimulation: After kicking the baby's soles or inserting a nasal tube with hands, the baby's crying, sneezing or coughing is 2 points, only slight reactions such as frowning are 1 point, and no response is 0 point.
4. Muscle tension of limbs: limb movement is 2 points, limb slight flexion is 1 minute, and limb relaxation is 0 points.
5. Breathing: even breathing, loud crying, slow and irregular breathing or weak crying 1 min, no breathing, 0.
6. These five items are represented by 0, 1 and 2 respectively, and the maximum total score of the five items is 10.
The significance of medical Apgar score is as follows:
1, Apgar score of newborn is used to judge whether the newborn has asphyxia and the severity of asphyxia, based on five signs of heart rate, respiration, muscle tension, laryngeal reflex and skin color within one minute after birth. The one-minute score reflects the situation in the uterus, that is, the situation during delivery, and the score after five minutes reflects the recovery effect, which is closely related to the prognosis.
2. Apgar score is based on breathing, skin color is the most sensitive, and heart rate is the index of final disappearance. The order of clinical deterioration is skin color, respiration, muscle tension, reflex and heart rate. The effective order of resuscitation is heart rate-reflex-skin color-breathing-muscle tension. The faster the muscle tone recovers, the better the prognosis.
3. This score is to judge the survival ability and adaptability of the newborn from the life in the mother's body to the life in the external environment, and also provides some predictability for the development of the child's nervous system in the future.