新生儿窒息病因与远期预后的关系

目的:探讨新生儿窒息病因与远期预后的关系,为早期防治提供依据。方法:对241例新生儿窒息采用临床病例分析和定期随访,满4岁后用Wechsler学前及初小儿童智能量表(WPPSI)和儿童智能量表修正版(WISC-R)进行智能测定。结果:新生儿窒息前5位病因由高到低依次为脐带因素、羊水异常、胎位不正、早产儿、胎儿窘迫。重度窒息和出生孕周<37周中智力低下、癫痫、脑瘫患病率明显高于轻度窒息和孕37~42周者。结论:加强围产期保健,加强孕期自我监护及胎儿监护,避免宫内缺氧及早产,及时处理高危妊娠,可减少新生儿窒息发生率。

Study on the pathogeny of newborn asphyxia and long-term prognosis

Objective:As the groundwork of forepart prevention and cure,to explore the relationship between the pathogeny of newborn asphyxia and prognosis.Methods:Take up clinical case history analysis and termly tracking diagnoses,and perform intelligence test for the children over 4 years old according to WPPSI(Wechsler Preschool and Primary Scale of Intelligence) and WISC-R(Wechsler Intelligence Scale for Children-Revision).Results:The descending sort of the main 5 pathogenies of newborn asphyxia were as follows: umbilical cord affection,amniotic fluid abnormity,malposition,premature infant,embryo anoxia.The disease rate of amentia,falling sickness and brain paralysis for the children who were asphyxial seriously or whose gestation period were less than 37 weeks was apparently higher than that for the children who were asphyxial slightly or whose gestation period were 37~42 weeks.Conclusion:It's very important to strengthen maternal and child health care in perinatal period,pay more attention to the health of the maternal and child,avoid embryo anoxia in the uterus and premature labor,prevent and cure the highly dangerous gestation duly,and to reduce the rate of newborn asphyxia.