新生儿窒息与产科高危因素的临床分析  

The Relationship between Obstetrical Causes and Neonatal Asphyxia

作　　者：刘彤[1] 王凤英[1] 周齐[1] 刘维靖[1] 幺宏彦[1] 

机构地区：[1]首都医科大学宣武医院妇产科

出　　处：《首都医科大学学报》2005年第5期624-626,共3页Journal of Capital Medical University

摘　　要：目的探讨新生儿窒息的产科高危因素及防治措施,降低新生儿窒息的发生率,提高产科医疗质量。方法回顾性分析2001年1月至2005年5月在宣武医院分娩的6 568例新生儿中182例新生儿窒息的临床资料,探讨与新生儿窒息相关的产科因素,分析分娩方式的选择对新生儿窒息的影响。结果脐带因素、羊水异常、早产等是引起新生儿窒息的主要产科因素。自然分娩与剖宫产引起新生儿窒息的发生率差异无统计学意义,阴道助产引起新生儿窒息的发生率较前两者明显增加,差异有统计学意义(P<0.01)。结论加强围生期保健,加强产前及产时胎儿监护,早期发现与新生儿窒息有关的产科高危因素,并予以防治。把握分娩时机,恰当选择分娩方式,正确处理妊娠并发症与合并症。同时熟练掌握新生儿抢救复苏技术,可降低产科因素引起新生儿窒息及围生儿死亡的发生率。Objective To investigate obstetrics-related risk factors in terms of neonatal asphyxia and methods of prevention, so as to reduce the incidence of neonatal asphyxia, and improve obstetrical quality. Methods 6 568 neonatal cases delivered in the hospital from 2001.1 -2005,5 were analyzed retrospectively to investigate obstetrical causes of neonatal asphyxia, and find out which kind of delivery may induce the neonatal asphyxia. Results Obstetrical complications such as umbilical cord abnormality, oligohydramnios and premature labor were associated With neonatal asphyxia. There was no significant difference in terms of neonatal asphyxia incidence between vaginal delivery and caesarean section, but forceps delivery would induce more neonatal asphyxia. Conclusion Regular prenatal visiting, screening and preventing obstetrical complications can reduce the incidence of neonatal asphyxia. The treatment such as choosing the correct way of delivery, proper management the pregnant complications and curing the depravation newborn can reduce the incidence of neonatal asphyxia and perinatal mortality.

关 键 词：新生儿窒息 产科高危因素 胎儿窘迫 

分 类 号：R714.7[医药卫生—妇产科学] R722.12[医药卫生—临床医学]