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目的 探讨新生儿缺氧缺血性脑病（ＨＩＥ） 的产科因素及防治措施。方法 回顾分析４０ 例ＨＩＥ新生儿的产科临床资料。结果 无产检的新生儿ＨＩＥ发病率高于有产检者；高危妊娠新生儿的ＨＩＥ 发病率明显高于正常妊娠者；自然分娩与剖宫产的ＨＩＥ发病率无显著性差异，而阴道手术产的ＨＩＥ的发病率明显高于前两者；胎儿窘迫、新生儿窒息与ＨＩＥ 的发生有密切关系。结论 加强围产保健，提高监护技术，及时处理高危妊娠及胎儿窘迫，普及新法复苏，对ＨＩＥ的预防有重要意义。
Objective To investigate the obstetric factors and prevention and treatment of neonatal hypoxic-ischemic encephalopathy (HIE). Methods Retrospective analysis of 40 cases of HIE neonatal obstetric clinical data. Results The incidence of HIE in non-birth-bearing newborns was higher than that in the pregnant women. The incidence of HIE in high-risk newborns was significantly higher than that in normal pregnant women. There was no significant difference in the incidence of HIE between spontaneous delivery and cesarean section. However, HIE incidence was significantly higher than the first two; fetal distress, neonatal asphyxia and HIE are closely related. CONCLUSIONS: Strengthening perinatal care, improving monitoring techniques, timely treatment of high-risk pregnancies and fetal distress and popularizing new methods of recovery are of great significance for the prevention of HIE.