新生儿窒息的产科因素分析

目的:探讨新生儿窒息的产科因素及防治措施。方法:回顾性分析115例新生儿窒息的产科资料。结果:(1)脐带因素和母亲有妊娠合并症或并发症为窒息的主要原因,分别占21.74%和20.87%;母亲妊娠合并症或早产为重度窒息主要原因。(2)自然分娩与剖宫产的新生儿窒息发病率无显著性差异,臀助产和阴道手术产的窒息发病率明显高于前两者(P<0.05)。结论:积极治疗妊娠合并症和并发症,加强孕期及产时监护,正确选择分娩方式,提高接产技术,可降低新生儿窒息的发生率。

The analysis of factors of neonatal asphyxia

Objectives: To analyse the factors of neonatal asphyxia. Methods: The clinical data of 155 cases of neonatal asphyxia were analysed from Jan. 2001 to sep.2003. Results:Abnormality of umbilical cord and pregnant complications were the main factors of asphyxia (21.74% and 20.87%). The pregnant complications and premature birth were the main factors of severe neonatal asphyxia. There was no significant difference between normal delibery group and cesarean section group for asphyxia, but the rate of asphyxia in forceps and breech delibery groups is higher than that in normal delivery and ceserea section groups (P<0.05). Conclusion: To pay more attention to antenatal and intranatal care, treat the complications of mother, select the correct method of delivery and improve the technique are very important for reducing the rate of neonatal asphyxia.