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目的探讨产科新生儿窒息的原因,寻找预防措施。方法回顾性分析168例新生儿窒息的产科原因,提出预防措施。结果新生儿窒息的主要产科原因及其百分率是:脐带因素,占36.91%、羊水因素,占23.21%和胎盘因素,占14.88%,合计126例,占75.00%;另外胎儿因素、产程异常、分娩方式及不明原因共42例,占25.00%。加强产前保健,重视产科高危因素,提高产前检查质量,产时对有高危因素的孕妇做好胎儿重点监护,防治胎儿宫内窘迫,适时剖宫产终止妊娠和提高新生儿复苏技术,是预防新生儿窒息的有效措施。结论增强孕期保健,加强产前、产时胎心监护及B超检查,做好产前检查,早期发现和治疗胎儿宫内窘迫,降低早产率,是降低新生儿重度窒息的有效措施。
Objective To investigate the causes of neonatal asphyxia in obstetrics and to seek preventive measures. Methods A retrospective analysis of 168 cases of obstetric neonatal asphyxia reasons, proposing preventive measures. Results The main obstetric causes and percentage of neonatal asphyxia were: umbilical cord factors, accounting for 36.91%, amniotic fluid factors, accounting for 23.21% and placenta factors, accounting for 14.88%, a total of 126 cases, accounting for 75.00%; other fetal factors, birth disorders, childbirth A total of 42 cases with unknown reasons, accounting for 25.00%. Strengthen prenatal care, emphasis on obstetric risk factors, improve the quality of prenatal examination, during pregnancy, pregnant women with high risk factors for fetal focus on monitoring, prevention and treatment of fetal distress, cesarean termination of timely pregnancy and improve neonatal resuscitation techniques Effective measures to prevent neonatal asphyxia. CONCLUSIONS: It is an effective measure to reduce neonatal severe asphyxia by enhancing the health care during pregnancy, strengthening the fetal heart monitoring and B-ultrasound during prenatal and / or antenatal period, doing prenatal examination, early detection and treatment of fetal distress, and reducing preterm birth rate.