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目的:探讨新生儿窒息的相关因素。方法:回顾性分析本院2001年1月～2006年12月分娩出生的232例窒息新生儿的临床资料。结果:新生儿窒息率为1.45%。在232例窒息新生儿中,轻度窒息158例,占68.1%;重度窒息68例,占29.3%;死亡6例,占25.9%。脐带因素、羊水因素、胎位异常、产程异常是新生儿窒息的主要因素。其增加了胎儿窘迫和早产的机会,导致新生儿出现缺血缺氧性脑病(HIE)、颅内出血甚至死亡。结论:应做好产前保健,积极预防治疗并发症,加强产前监护,及时发现并处理胎儿窘迫。另外,防治新生儿HIE应从宫内开始。
Objective: To explore the related factors of neonatal asphyxia. Methods: The clinical data of 232 asphyxiated newborns born in delivery from January 2001 to December 2006 in our hospital were retrospectively analyzed. Results: Neonatal asphyxia rate was 1.45%. Of the 232 asphyxiated newborns, mild asphyxia 158 cases, accounting for 68.1%; 68 cases of severe asphyxia, accounting for 29.3%; 6 died, accounting for 25.9%. Umbilical cord factors, amniotic fluid factors, fetal position abnormalities, birth disorders is the main factor in neonatal asphyxia. It increases the chance of fetal distress and premature delivery, leading to neonatal hypoxic-ischemic encephalopathy (HIE), intracranial hemorrhage and even death. Conclusion: Prenatal care should be done actively to prevent and treat complications, strengthen prenatal care, and timely detection and treatment of fetal distress. In addition, the prevention and treatment of neonatal HIE should start from the womb.