192例新生儿窒息相关因素分析

目的:探讨新生儿窒息的相关因素及防治措施。方法:对2006年1月~2008年4月出生的3 654例活产儿中发生窒息的192例新生儿的临床资料进行回顾性分析。结果:新生儿窒息发生率为5.3%,其中轻度窒息153例,占79.7%;重度窒息39例,占20.3%。新生儿窒息与胎儿宫内窘迫、孕周、产时体重、分娩方式密切相关。早产儿、极低体重儿、产钳助产儿、臀位助产儿重度窒息发生率明显高于正常新生儿(P<0.01)。结论:重视孕期保健,减少低出生体重儿和巨大儿出生,选择合适的分娩方式,加强产程监护,提高助产和复苏技术是降低新生儿窒息率的关键。

Analysis on related factors of neonatal asphyxia of 192 cases

Objective:The clinical data of 192 cases with neonatal asphyxia from January 2006 to April 2008 were analysed retrospectively.Methods:The related factors of 192 neonates with neonatal asphyxia among 3 654 live-born neonates were analysed.Results:The incidence of neonatal asphyxia was 5.25%,including 153 cases(79.7%) of mild asphyxia,39 cases(20.3%) of severe asphyxia.Neonatal asphyxia was related to fetal distress in uterus,pregnant weeks,body weight during delivery and modes of delivery.The incidences of severe asphyxia of neonates with premature delivery,low body weight,forceps delivery and assisted breech delivery were higher than those of normal neonates(P<0.01).Conclusion:The key of low incidence of neonatal asphyxia are enough attention to pregnant health care,low birth rates of low birth weight infant and macrosomia,appropriate delivery modes,enhanced monitoring in labor and improved techniques of delivery and recovery.