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新生儿窒息是胎儿宫内窘迫的继续,是围产儿死亡及致残的主要原因之一。为降低新生儿窒息的发生和死亡,提高产科质量,我们对本院1995年6月—1998年12月产科3623例新生儿中246例新生儿窒息做相关因素分析,现报道如下。1 临床资料1.1 一般资料 本组新生儿窒息246例,资料符合诊断。其中早产儿21例;足月儿195例;过月儿30例。体重<2.5kg23例;2.5～3.99kg196例;>4.0kg27例。分娩方式:自然分娩者100例;阴道助娩（需牵引、胎吸、产钳等）120例;剖宫产26例。母亲产科并发症21例,其中妊高征者14例,前置胎盘4例,妊娠合并心脏病者2例,胎膜早破1例。胎心改变195例,羊水混浊225例。胎心电子监护仪显胎心基线改变155例。
Neonatal asphyxia is a continuation of fetal distress and is one of the major causes of perinatal death and disability. To reduce the incidence of neonatal asphyxia and death and improve the quality of obstetrics, our hospital from June 1995 to December 1998 obstetric 3623 newborns 246 cases of neonatal asphyxia related factors analysis are reported below. 1 Clinical data 1.1 General Information 246 cases of neonatal asphyxia, data consistent with the diagnosis. Including 21 cases of premature children; 195 full-term children; off-month children in 30 cases. Body weight <2.5kg23 cases; 2.5 ~ 3.99kg196 cases;> 4.0kg27 cases. Delivery mode: 100 cases of natural childbirth; vaginal delivery (to be traction, fetal suction, forceps, etc.) 120 cases; cesarean section in 26 cases. There were 21 maternal obstetric complications including 14 cases of PIH, 4 cases of placenta previa, 2 cases of pregnancy complicated with heart disease and 1 case of premature rupture of membranes. Fetal change in 195 cases, 225 cases of cloudy amniotic fluid. Fetal heart monitor was changed fetal heart rate in 155 cases.