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目的探讨新生儿窒息的发病因素,以降低新生儿窒息的发生率和病死率。方法回顾性分析在产科出生的新生儿窒息患儿90例的临床资料,从分娩方式、出生胎龄与体重、羊水污染程度、疾病因素4个方面予以归纳总结。结果不恰当的分娩方式(剖宫产和助产占53.3%)、早产(21.11%)、低体重(<2.5kg占32.2%)与巨大儿(>4kg占8.89%)、母婴疾病与脐带、胎盘因素(共占72.2%),是造成新生儿窒息的主要原因。另外新生儿窒息的发生与手术污染程度有密切关系(P<0.01)。结论加强产前检查,防治母婴疾病,及时处理胎儿窘迫,选择最佳分娩方式,可以有效降低新生儿窒息的发生率。
Objective To investigate the incidence of neonatal asphyxia factors to reduce the incidence of neonatal asphyxia and mortality. Methods The clinical data of 90 cases of neonatal asphyxia were retrospectively analyzed. The methods of delivery, gestational age and weight, amniotic fluid contamination and disease factors were summarized. Results The mode of delivery (cesarean section and midwifery 53.3%), premature delivery (21.11%), low body weight (<2.5kg 32.2%) and macrosomia (> 4kg 8.89%), maternal and infant diseases and umbilical cord , Placental factors (a total of 72.2%), is the main cause of neonatal asphyxia. In addition, the incidence of neonatal asphyxia and surgical contamination are closely related (P <0.01). Conclusion Strengthening prenatal care, prevention and treatment of maternal and infant diseases, timely treatment of fetal distress, and choice of the mode of delivery can effectively reduce the incidence of neonatal asphyxia.