241例新生儿窒息产科因素分析

目的:探讨新生儿窒息病因与产科高危因素的关系,为早期预防提供依据。方法:分析近十年来我院产科分娩241例窒息新生儿产科相因素、羊水异常、胎位不正、早产儿、胎儿宫内窘迫。结果:新生儿窒息前5位病因由高到低依次为脐带、羊水异常、胎位不正、早产儿、胎儿宫内窘迫,及时处理高危妊娠,避免宫内缺氧及早产,可降低新生儿窒息发生率。结论:加强围产期保健,加强孕期自我监护相关高危因素,使胎儿尽快脱离缺氧缺血环境,从而降低新生儿窒息发生率。

Obstetric factors analysis of 241 cases of neonatorum asphyxia

Objective： To investigate the relationship between the cause ofneonatorum asphyxia and obstetric factors, provide the basis for the early prevention. Methods： Analyse the obstetric delivery factors, abnormal amniotic fluid, abnormal fetal position, premature, fetal distress in 241 cases of neonatorum asphyxia of the obstetrical department in our hospital in the past ten years. Results： The top 5 causes of neonatorum asphyxia in descending order are umbilical cord, amniotic fluid abnormalities, malposition, premature, fetal distress, timely processing of high-risk pregnancy, avoiding intrauterine hypoxia and premature birth, can reduce the incidence of neonatorum asphyxia. Conclusions： Strengthening perinatal care, self-care-related risk factors during pregnancy, getting the fetus out from hypoxic environment as soon as possible, thereby reducing the incidence ofneonatorum asphyxia.