乌鲁木齐地区新生儿窒息的病因分析(1996年～2005年)

目的通过分析新生儿窒息的原因,找到新生儿窒息的主要危险因素。方法对我院1996年~2005年10年期间分娩的1185例新生儿窒息病例进行回顾性的分析。结果新生儿窒息发生率为6.69%,其中脐带因素35.7%,胎位异常19.7%,早产13.87%。其中孕周小于37周及阴道助产者新生儿窒息发生率较高(P<0.05),巨大儿与正常体重儿窒息发生率无差别(P>0.05)。结论脐带因素、早产、阴道助产是新生儿窒息的主要原因,随着剖宫产率的上升和阴道助产率的下降,新生儿窒息的发生率有下降的趋势。把握分娩时机,正确选择分娩方式,防治早产是降低新生儿窒息的有效措施。

Etiology analysis of the newborn asphyxia in Xinjiang

Objective: Finding major factors by analysis of the newborn asphyxia.Methods: Retrospective study of 1185 patients with newborn asphyxia in the 10 years.Results :The morbidity rate of the newborn asphyxia was 6.69%,the rate of cord factors was 35.7%,fetal malposition was 19.7%,premature labor was 13.87%,the morbidity rate of newborn asphyxia was higher in vaginal assistant delivery and the gestational age was less than 37 weeks(P<0.05),no difference was observed between large for date infant and normal weight fetus(P>0.05.Conclusion: The major courses of the newbown asphyxia are cord abnormality,premature labor and vaginal assistant delivery.With the increase of the cesaerean section rate and the decrease of the vaginal assistant delivery rate,the newborn asphyxia rate is decline.To choose the appropriate time and methods of delivery,to manage the newborn asphyxia timely,are the effective measures to decrease newborn asphyxia.