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目的了解新生儿窒息后多脏器损害发生率及围生期因素与多脏器损害的关系。方法对255例窒息新生儿脏器损害发生率进行评估,并对窒息新生儿的相关因素进行分析。结果重度窒息发生多脏器损害率明显高于轻度窒息,窒息后脑损害发生率占67.8%,肺损害占64.7%,心肌损害占58.8%,肝脏损害占42.0%,胃肠损害占32.9%,肾脏损害占11.4%;窒息后多脏器损害与出生地点、宫内窘迫、脐带异常、窒息程度及窒息的抢救及时与否有关。结论重视围生期保健,分娩前严密监测,加强产儿合作,及时合理复苏和重视复苏后监测,可以降低新生儿窒息后多脏器损害发生率,提高新生儿生存质量。
Objective To investigate the incidence of multiple organ damage after neonatal asphyxia and perinatal factors and the relationship between multiple organ damage. Methods The incidence of organ damage in 255 asphyxiated neonates was assessed and the related factors of neonatal asphyxia were analyzed. Results The incidence of multiple organ damage in severe asphyxia was significantly higher than that of mild asphyxia. The incidence of brain damage accounted for 67.8%, lung damage 64.7%, myocardial damage 58.8%, liver damage 42.0%, gastrointestinal damage 32.9% Kidney damage accounted for 11.4%; multiple organ damage after asphyxia and birth place, intrauterine distress, umbilical cord abnormalities, degree of asphyxia and rescue timely or not. Conclusions Emphasis on perinatal care, close monitoring before childbirth, strengthening cooperation in childbirth, prompt and reasonable recovery and post-recovery monitoring can reduce the incidence of multiple organ damage after neonatal asphyxia and improve the quality of life of neonates.