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目的:探讨与新生儿窒息有关的产科因素,以便提出相应措施,减少新生儿窒息发生。方法:对2003年1月～2004年12月山西省妇幼保健院产科分娩的100例新生儿窒息的相关因素进行回顾性分析。结果:引起新生儿窒息的因素是多方面的,母体因素中主要是妊娠合并症及并发症占34.02%(33/97),胎盘早剥及前置胎盘占23.71%(23/97),胎膜早破占18.56%(18/97)。胎儿因素中主要是早产占29.20%(33/113),脐带因素占20.35%(23/113),胎儿生长受限占17.20%(20/113)。胎儿窘迫及羊水性状与新生儿窒息有关。不同的分娩方式新生儿窒息发生率不同(P<0.05)。结论:降低新生儿窒息的关键在于提高产前检查质量,加强高危妊娠的管理,及时治疗妊娠合并症及并发症,适时分娩,并选择正确的分娩方式,加强产时监护,熟练掌握产科适宜技术及新生儿窒息复苏技术。
Objective: To explore the obstetric factors related to neonatal asphyxia in order to put forward corresponding measures to reduce neonatal asphyxia. Methods: A retrospective analysis of 100 neonates with asphyxia related to obstetric delivery in Shanxi Maternal and Child Health Hospital from January 2003 to December 2004 was conducted. Results: Asphyxia neonatal factors are many, maternal factors mainly complications of pregnancy and complications accounted for 34.02% (33/97), placental abruption and placenta previa accounted for 23.71% (23/97), fetal Premature rupture of membranes accounted for 18.56% (18/97). Fetal factors were mainly premature birth accounted for 29.20% (33/113), umbilical cord factors accounted for 20.35% (23/113), fetal growth restriction accounted for 17.20% (20/113). Fetal distress and amniotic fluid traits associated with neonatal asphyxia. The incidence of neonatal asphyxia varied with different modes of delivery (P <0.05). Conclusion: The key to reduce neonatal asphyxia is to improve the quality of prenatal care, strengthen the management of high-risk pregnancies, timely treatment of complications and complications of pregnancy, timely delivery, and select the correct mode of delivery, to strengthen the guardian of birth, proficiency in obstetric appropriate technology And neonatal asphyxia recovery technology.