闵行区525例新生儿产时窒息流行病学现状调查

目的 前瞻性调查近两年半闵行区最具代表性的妇幼保健院和中心医院两家医院分娩新生儿窒息相关因素,以期为制定新的预防措施提供理论依据.方法 通过队列研究的方法对525例新生儿窒息患儿和20 522例正常新生儿做对比分析.结果 经多因素Logistic回归分析显示,出生体重、孕周、双胎、胎位、产程及胎儿窘迫相关因素是导致新生儿窒息的首要危险因素.结论 处理上述危险因素,进一步降低窒息复苏技术推广以来的新生儿窒息发病率.

Epidemiological Investigation on 525 Cases of Neonatal Asphyxia in Minhang District

OBJECTIVE Nearly 2.5 years prospective study on birth asphyxia-related factors between two of the representative hospi- tals in Minhang Disrrict, the maternal and child health care and the Centre hospital, with a view to provide the theoretical basis for new prevention. METHOD Cohort study of and analysis on 525 cases of neonatal asphyxia and 20 522 normal neonates of normal ne- onates. RESULTS Multivariate logistic regression analysis revealed： birth weight, gestational age, twins, labor and related factors of fetal distress were the primary risk factor to lead neonatal asphyxia. CONCLUSIONS Control the risk factors mentioned above, fur- ther reducing the incidence of neonatal asphyxia since resuscitation techniques promotion.