192例新生儿窒息相关因素分析  

Analysis on related factors of neonatal asphyxia of 192 cases

作　　者：金德华[1] 陈明骥 胡怡苹[3] 

机构地区：[1]四川省攀枝花市中心医院儿科,617067 [2]重庆市酉阳县人民医院 [3]四川大学华西第二医院

出　　处：《中国妇幼保健》2009年第20期2807-2808,共2页Maternal and Child Health Care of China

摘　　要：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3654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洲，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。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.

关 键 词：新生儿窒息 出生体重 分娩方式 

分 类 号：R722.12[医药卫生—儿科]