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目的探讨新生儿窒息的产科原因。方法选取范县人民医院产科2010年12月至2011年12月出生的2540例新生儿中发生窒息现象的68例患儿,对其临床资料进行回顾性分析。结果本研究68例患儿中脐带异常24例,羊水过少15例,胎位异常及产程异常13例,早产7例,胎膜早破6例,其他原因3例。结论为有效降低新生儿窒息率,产妇及医疗机构需做好产前保健,同时还要加强对预防及处理相关并发症的重视,并且要严格进行产前、产时电子监护及B超监测。
Objective To investigate the obstetric causes of neonatal asphyxia. Methods Sixty-eight of 2540 newborns with asphyxia who were born from December 2010 to December 2011 in Fanxian People’s Hospital were retrospectively analyzed. Results There were 24 cases of umbilical cord abnormality, 15 cases of oligohydramnios, 13 cases of abnormal fetal position and birth abnormality, 7 cases of premature labor, 6 cases of premature rupture of membranes and 3 cases of other reasons. Conclusions In order to effectively reduce neonatal asphyxia, antenatal care should be done in maternal and medical institutions. At the same time, emphasis should be put on the prevention and treatment of complications. Electronic monitoring and B-monitoring should be strictly conducted during the prenatal period and during labor hours.