新生儿窒息产科相关因素179例临床分析

目的:探讨新生儿窒息产科相关因素及防治策略,提高产科医疗质量和水平。方法:运用临床科研资料收集的方法回顾分析2007年11月～2008年4月间在产科分娩的179例新生儿窒息病案资料,分析归纳新生儿窒息相关的产科因素,分娩方式的选择对新生儿窒息的影响。结果:脐带因素、胎位及产程异常是引起新生儿窒息的主要因素。自然分娩与剖宫产引起新生儿窒息的发生率统计分析无差异。阴道助产引起新生儿窒息的发生率较前两者明显增加,差异有统计学意义,P<0.05。结论:加强围生期保健,加强产前及产时胎儿监护,早期发现与新生儿窒息相关的产科因素,把握分娩时机,恰当选择分娩方式,熟练掌握新生儿复苏抢救技术是降低因产妇因素引起的新生儿窒息及围产儿死亡的重要因素。

Clinical analysis on obstetrical effect factors of neonatal asphyxia on 179 cases

Objective: To explore the obstetric effect factors, prevention and treatment of neonatal asphyxia, improve obstetrical quality. Methods: Clinical data of 179 neonatal infants with neonatal asphyxia were analysed retrospectively from November 2007 to April 2008, the obstetric effect factors and delivery modes were analysed. Results: The main effect factors of neonatal asphyxia included: umbili-cal cord abnormality, abnormal fetal position and abnormal labor stage. There was no significant difference in the incidence of neonatal as-phyxia between vaginal delivery and caesarean section, but the incidence of neonatal asphyxia in forceps delivery was higher than those in va-ginal delivery and caesarean section (P < 0. 05) . Conclusion: Prenatal monitoring, screening and preventing obstetric complications, cor-rect delivery modes, skilled resuscitation technique may reduce the incidence of neonatal asphyxia and perinata] mortality.