目的:探讨西宁地区新生儿窒息复苏的时机及方法。方法:选择青海大学附属医院产科2003年1月—2005年12月间分娩的2807例新生儿中发生窒息的355例,进行产前、产后、药物及气管插管复苏。结果:新生儿产前宫内用药组与未用药组在产后的窒息发生率有显著性差别,P<0.01,气管插管复苏效果显著。结论:高海拔低氧环境下气管插管指征适当放宽为宜,及早复苏,提高复苏成功率,降低新生儿窒息的近、远期并发症。 Objective: To explore the timing and method of neonatal asphyxia recovery in Xining area. Methods: 355 cases of asphyxia in 2807 neonates who were delivered between January 2003 and December 2005 in Department of Obstetrics and Gynecology, Affiliated Hospital of Qinghai University were enrolled in this study. Prenatal, postnatal, drug and tracheal intubation resuscitation were performed. Results: There was a significant difference in the incidence of postpartum asphyxia between neonatal prenatal uterus and non-pregnant uterus (P <0.01). The effect of tracheal intubation was significant. Conclusions: Indications for endotracheal intubation should be appropriately relaxed under high altitude and hypoxia conditions, and early recovery should be achieved to improve the success rate of resuscitation and reduce the short-term and long-term complication of neonatal asphyxia.