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目的:了解乌鲁木齐市新生儿窒息的发生情况,分析窒息与分娩方式的关系以及发生窒息的原因。方法:对乌鲁木齐市2006年1月~2010年12月18所医院出生的所有新生儿的资料进行数据汇总。结果:2006年~2010年,乌鲁木齐市新生儿窒息发生率从9.64%(915/9 488)降至6.44%(710/11 025);自然分娩组、剖宫产组和产钳助产组的窒息发生率依次为6.77%、7.69%和10.89%;在3 823例窒息新生儿中,窒息发生的原因依次为胎儿窘迫、脐带异常、妊娠及内科合并症、胎膜早破、早产、巨大儿及胎盘异常。结论:加强产科与新生儿科合作,进行新生儿窒息复苏培训,选择适宜的分娩方式,积极防治新生儿窒息并发症,是降低新生儿窒息发生率和病死率的有效手段。
Objective: To understand the incidence of neonatal asphyxia in Urumqi and analyze the relationship between asphyxia and mode of delivery and the causes of asphyxia. Methods: Data of all newborns born in 18 hospitals in Urumqi from January 2006 to December 2010 were collected. Results: From 2006 to 2010, the incidence of neonatal asphyxia in Urumqi dropped from 9.64% (915/9 488) to 6.44% (710/11 025). Asphyxia in natural delivery group, cesarean section group and forceps midwifery group The incidences of asphyxia were as follows: fetal distress, umbilical cord abnormalities, pregnancy and medical complications, premature rupture of membranes, premature labor, macrosomia and Abnormal placenta. Conclusion: To strengthen the cooperation between obstetrics and neonatology, carry out neonatal asphyxia resuscitation training, choose the mode of delivery and actively prevent complications of neonatal asphyxia are effective measures to reduce neonatal asphyxia and mortality.