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目的探讨儿产科合作对新生儿窒息及产妇产后出血的积极作用。方法选择1999年10月至2004年9月产科出生的新生儿1866例为对照组;以2004年10月起实施儿产科合作至2009年9月出生的新生儿1715例为观察组。比较儿产科合作实施前后新生儿窒息率、窒息病死率、HIE发生率及产妇产后出血情况。结果儿产科合作实施后新生儿窒息率、窒息病死率、HIE发生率均显著低于实施前(P<0.05或P<0.01);产妇产后出血率显著低于实施前(P<0.01)。结论儿产科合作对降低新生儿窒息发生率、窒息病死率、HIE发生率及产妇产后出血有积极作用。
Objective To explore the positive effects of obstetrics and gynecology cooperation on neonatal asphyxia and postpartum hemorrhage. Methods 1866 newborn infants born in obstetrics from October 1999 to September 2004 were selected as the control group; 1715 neonates born in cooperation with the obstetrics and gynecology department from October 2004 to September 2009 were selected as the observation group. To compare neonatal asphyxia, asphyxia mortality, incidence of HIE and maternal postpartum hemorrhage before and after the implementation of obstetrics and gynecology. Results The rate of neonatal asphyxia, asphyxia and HIE after pediatric obstetric cooperation was significantly lower than that before the implementation (P <0.05 or P <0.01). The rate of postpartum hemorrhage was significantly lower than that before the implementation (P <0.01). Conclusion The cooperation of obstetrics and gynecology has a positive effect on reducing neonatal asphyxia, asphyxia mortality, the incidence of HIE and postpartum hemorrhage.