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目的探讨产科高危因素与新生儿窒息的相关性。方法研究对象为2009年8月～2010年8月在某院分娩的1 216例新生儿,其中新生儿窒息34例(2.8%),回顾性分析新生儿窒息与产科高危因素的相关性。结果在导致新生儿窒息的产科高危因素中,脐带缠绕32.4%,羊水异常占26.5%,胎盘因素占20.6%,早产占8.7%,胎位异常占5.9%,其他占5.9%。脐带缠绕所占比例最高,其中中度窒息占81.8%。结论新生儿窒息是产科常见的、多发的并发症,是围生儿死亡的首要危险因素,需要积极预防,以保障母婴安全。
Objective To investigate the correlation between obstetric risk factors and neonatal asphyxia. Methods A total of 1,216 newborns were delivered in a hospital from August 2009 to August 2010, of which 34 (2.8%) were neonates with asphyxia. The correlation between neonatal asphyxia and obstetric risk factors was analyzed retrospectively. Results In obstetric high risk factors of neonatal asphyxia, 32.4% of umbilical cord entanglements, 26.5% of amniotic fluid abnormalities, 20.6% of placenta, 8.7% of premature births, 5.9% of fetal abnormalities and 5.9% of others. The highest proportion of umbilical cord entanglement, of which moderate asphyxia accounted for 81.8%. Conclusion Neonatal asphyxia is a common and frequent complication in obstetrics. It is the primary risk factor of perinatal death and needs active prevention to ensure the safety of mother and infant.