剖宫产新生儿重度窒息37例临床分析

目的探讨降低新生儿重度窒息的有效措施。方法将37例剖宫产的新生儿重度窒息作为观察组，选择同期阴道助产的新生儿重度窒息16例为对照组，比较两组新生儿出生时的重度窒息情况并统计剖宫产新生儿重度窒息的原因。结果剖宫产组的新生儿重度窒息率显著高于阴道助产组（P〈0．05）。导致剖宫产新生儿重度窒息的主要原因有：高危妊娠、胎儿宫内窘迫、出生后未及时建立自主呼吸、取头时间过长等。结论应加强孕期检查及产前产时监护，及时发现高危因素，及早治疗；正确掌握剖宫产的手术时机，严格执行剖宫产手术分级管理制度，提高产科医生的专业技术水平；术中避免一切导致新生儿窒息的操作，特别应绝对避免无把握的反复娩出胎头，方可预防和减少剖宫产新生儿重度窒息的发生。

Clinical analysis of newborn severe asphyxia in 37 case of cesarean section

Objective To study the effective measures to decrease newborn severe asphyxia in cesarean section. Methods Newborn severe asphyxias of 37 cases of cesarean section were taken as observation group and other 16 cases with vaginal delivery at the same period as control group. The newborn severe asphyxia grades of the two groups were compared. Results The severe asphyxia rate of cesarean section group was much higher than that of control group(P<0.05). The causes leading to newborn severe asphyxia consisted of high-risk pregnancy, fetal distress in uterus, failure to establish spontaneously breathing, and too long time to expulse the fetal head. Conclusion Strengthening the examination during pregnancy, meticulous antepartum and intrapartum monitoring, timely management of high-risk factors, and correct operational procedures are essential to prevent newborn severe asphyxia.