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目的调查崇州地区二级接生医院新生儿窒息的相关因素。方法采用病例对照研究对150例新生儿窒息患儿和450例正常新生儿的临床资料进行分析。结果经过多因素Logistic回归分析显示:孕周(OR=3.342,95%CI:0.983~7.543)、出生体质量(OR=3.342,95%CI:1.673~6.341)、母亲患有贫血(OR=3.534,95%CI:0.356~3.564)、单脐动脉(OR=2.564,95%CI:0.342~4.452、第二产程延长(OR=2.200,95%CI:1.237~3.623)、羊水污染(OR=5.234,95%CI:1.452~6.743)、脐绕颈(OR=5.213,95%CI:1.233~8.734)是导致新生儿窒息的相关危险因素。结论产前因素和产时因素依旧是引起崇州地区二级接生医院发生新生儿窒息的主要原因。预防孕期发生各种并发症,做好相关检查,为分娩时做好充分准备,避免难产导致第二产程延长,减少新生儿窒息的发生
Objective To investigate the related factors of neonatal asphyxia in secondary delivery hospitals in Chongzhou area. Methods The clinical data of 150 neonates with asphyxia and 450 normal newborns were analyzed by case control study. Results After multivariate Logistic regression analysis, the gestational age (OR = 3.342, 95% CI: 0.983-7.543), birth weight (OR = 3.342, 95% CI: 1.673-6.341) and maternal anemia , 95% CI: 0.356 ~ 3.564), single umbilical artery (OR = 2.564,95% CI: 0.342 ~ 4.452, prolonged second stage of labor (OR = 2.200, 95% CI: 1.237 ~ 3.623), amniotic fluid contamination , 95% CI: 1.452 ~ 6.743), and the umbilical cord around the neck (OR = 5.213,95% CI: 1.233 ~ 8.734) were the risk factors of neonatal asphyxia.Conclusion Prenatal factors and labor-time factors are still the Grade A primary cause of neonatal asphyxia in hospitals is to prevent various complications during pregnancy, make relevant checks and make adequate preparations for delivery to avoid dystocia lead to the extension of the second stage of labor and reduce neonatal asphyxia