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目的:探讨季节、性别、胎龄、出生体重、胎数以及分娩方式等因素与围生期窒息的关系。方法:对14年来在郑州大学第三附属医院分娩的所有活产新生儿的病历资料进行回顾性分析,探讨季节、性别、胎龄、出生体重、胎数和分娩方式对围生期窒息发生率、死亡率和病死率的影响。结果:窒息儿的发生率、死亡率和病死率均以7月份最高。男婴、双/多胎和阴道助产儿的窒息发生率明显增高,围生期窒息的发生率、死亡率和病死率与胎龄、出生体重高度相关。结论:围生期窒息的发生与季节、性别、胎龄、出生体重、胎数及分娩方式相关。
Objective: To investigate the relationship between the factors such as season, sex, gestational age, birth weight, number of fetuses and mode of delivery and perinatal asphyxia. Methods: Retrospective analysis was made on the records of all live-born newborns delivered at the Third Affiliated Hospital of Zhengzhou University in the past 14 years. The incidences of perinatal asphyxia were investigated retrospectively. The incidences of perinatal asphyxia were investigated by season, gender, gestational age, birth weight, number of births and modes of delivery , Mortality and mortality. Results: The incidence of asphyxia, mortality and mortality were the highest in July. Baby boy, twin / multiple birth and vaginal midwifery asphyxia significantly increased the incidence of perinatal asphyxia, mortality and mortality were highly correlated with gestational age, birth weight. Conclusion: The incidence of perinatal asphyxia is related to the season, sex, gestational age, birth weight, number of fetuses and mode of delivery.