109例新生儿窒息产科原因分析

目的:探讨新生儿窒息的相关因素及防治措施。方法:回顾性分析2005年1月～2007年12月109例新生儿窒息病例,比较不同年份新生儿窒息发生率的差异及各种产科因素与新生儿窒息的关系。结果:新生儿窒息为综合因素所致,胎儿因素中以胎儿窘迫、早产儿、脐带异常为主;母体因素中以重度子痫前期、产前出血、胎膜早破为主;分娩因素中以宫缩乏力、胎位异常、阴道助产为主。用新生儿窒息新法复苏后新生儿窒息发生率特别是早产儿窒息发生率逐年下降,其差异均具有统计学意义。结论:加强孕期保健,及早发现异常,积极治疗妊娠合并症和并发症,适时选择正确的分娩方式终止妊娠;加强产儿科合作,提高助产和复苏技术,是降低新生儿窒息发生率的关键。

Analysis on obstetric factors of neonatal asphyxia in 109 cases

Objective:To explore the related factors and preventive measures of neonatal asphyxia.Methods:Clinical data of 109 cases of neonatal asphyxia from January 2005 to December 2007 were analysed retrospectively.The incidence of neonatal asphyxia between different years,the relationship between obstetric factors and incidence of neonatal asphyxia was analysedResults:Many factors especially anoxic fetus would synthetically result in newborn asphyxia,including fetal factors,maternal factors and delivery factors.Neonatal resuscitation program reduced the incidence of newborn asphyxia,especially premature fetus significantly.Conclusion:In order to reduce the incidence of newborn asphyxia,pregnancy health should be strengthened,curing complication,terminating pregnancy by correct method,developing delivery and resuscitation technique are important.