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目的分析新生儿窒息发生原因,寻找有效的预防措施。方法选择2003年1月至2007年1月在我院住院分娩的新生儿窒息340例,另选取同期住院分娩出生为正常新生儿产妇340例作为对照组,两组产妇年龄、经济条件、文化程度比较差异无统计学意义。结果新生儿窒息发生率为4.6%,以羊水过少、混浊,孕母妊娠高血压综合征、脐带及胎盘因素等为主要原因。结论加强围生期保健及时处理高危妊娠,加强胎心监护避免宫内胎儿缺氧,正确选择分娩方式,加强产房内配备复苏设备,培训产儿科医护人员新法接生及新生儿窒息复苏技术,可有效预防和降低新生儿窒息的发生率。
Objective To analyze the causes of neonatal asphyxia and seek effective preventive measures. Methods From January 2003 to January 2007, 340 cases of neonatal asphyxia were hospitalized in our hospital. Another 340 cases of normal newborns born during the same period of hospital delivery were selected as the control group. The age, economic conditions, educational level The difference was not statistically significant. Results The incidence of neonatal asphyxia was 4.6%, with oligohydramnios, turbidity, gestational hypertension, umbilical cord and placenta factors as the main reason. Conclusion Strengthening perinatal care timely treatment of high-risk pregnancies, strengthening fetal heart rate guarding to prevent intrauterine fetal hypoxia, correct choice of mode of delivery, strengthening the delivery room with recovery equipment, training of pediatric medical staff new method of birth and neonatal asphyxia resuscitation techniques can be effective Prevent and reduce the incidence of neonatal asphyxia.