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本文对我院自1985年1月至12月间124例低 Apgar 评分儿的临床资料进行分析。结果如下:≤7及≤3分者分别占分娩总数的5.79%和0.28%。出生时 Apgar 评分越低、窒息时间越长者死亡率越高,不同分娩方式中低 Apgar 评分儿发生率分别为:顺产3%、剖腹产6.58%、臀牵引6.7%、产钳11.4%、胎头吸引18.7%。124例低分儿中80例(64.5%)有宫内窘迫,44例(35.5%)无宫内窘迫临床表现。从原因分析看出脐带因素最多,共47例(37.9%)。讨论中强调对出生低评分儿应及时抢救,应严格掌握产科手术指征,对产前无窘迫者亦应注意接生技术,做好新生儿抢救准备。另外,本文还对部分低评分儿的智力发育情况作了随访调查,存活的48例婴儿的发育情况良好,智商均在中等水平以上。
In this paper, our hospital from January 1985 to December 124 cases of low Apgar score clinical data were analyzed. The results are as follows: ≤ 7 and ≤ 3 points accounted for 5.79% and 0.28% of the total number of deliveries. Apgar score at birth is lower, the higher the mortality rate is, the lower the Apgar score in different modes of delivery are: 3% of births, 6.58% of caesarean section, 6.7% of hip traction, forceps of 11.4%, fetal head attraction 18.7%. There were 80 cases (64.5%) with intrauterine distress in 124 cases and 44 cases (35.5%) without clinical manifestations. From the analysis of the reasons that the most umbilical cord factors, a total of 47 cases (37.9%). During the discussion, emphasis should be put on the low-birth-rate children who should be rescued promptly. Obstetrics and gynecological indications should be strictly controlled and birth-free techniques should also be taken for the non-distressed ones before delivery to prepare for newborn rescue. In addition, this article also made a follow-up survey on the intelligence development of some low-score children. The 48 surviving infants were well-developed and the IQ was above the middle level.