新生儿产伤79例分析

Newborn labour damage in 79 cases

目的了解新生儿产伤种类及相关因素。方法用回顾性分析方法对该院23年间分娩造成的新生儿产伤共79例进行分析。结果23年间共分娩25916例次,分娩造成的新生儿产伤共79例,发生率为3.05‰。产伤类型包括骨折、臂丛神经损伤、产钳伤、刀伤、面瘫、口底损伤,其中以骨折为最多,计33例,占41.77%,骨折中颅骨骨折所占比例最大,25例(75.76%)。与产伤关系最为密切的分娩方式是产钳助产。体重≥2500g,发生新生儿产伤71例,占89.87%。新生儿产伤Apgar评分≤7分56例,占70.89%。结论正确选择分娩方式,把新生儿产伤降到最低点。

Objective: To study the kinds of neonate damage from delivery and the correlative factors. Methods: Reviewed the newborn labour damage in 79 cases from delivery in the past 23 years in our hospital. Results: The incidence rate of damage was 3.05‰ (79/25916) in this period. The kinds of damage include: fracture, brachial plexus injury, forceps injury, cut trauma, facial paralysis, injury of floor of mouth, 33 (41.77)% of which was fracture, 25 cases (75.76%) skull fracture. The delivery with forceps was the most closed factor associated with the neonate damage. Conclusions: To decrease the incidence rate of damage, we must master the relational conditions of new born damage and choose the correct route of delivery.