新生儿窒息发生的相关因素探讨

Explorations of related factors for neonatal asphyxia

目的探讨新生儿窒息发生的相关因素，提出干预措施。方法对2000年1月～2005年6月在本院出生的新生儿窒息130例的相关因素进行回顾性分析。结果新生儿窒息为综合因素所致，多为胎儿窘迫的延续。胎儿高危因素为91．53％，分娩时高危因素高达90．76％，母体高危因素为67．69％。结论加强围产期保健，及时处理高危妊娠，综合分析可能发生新生儿窒息的高危因素，适时正确选择分娩方式，是降低新生儿窒息和病死率的关键措施。

Objective To explore the related factors for asphyxia on newborn and to provide the intervention measures. Methods The related factors of 130 cases of newborn asphyxia between January 2000 and June 2005 in the hospital were analyzed retrospecteively. Results Newborn asphyxia were mainly caused by the interaction of multiple factors and generally continued after fetal distress. Fetal high risk factors were 93.5% ,high risk labor were 92.86%, and maternal high risk factors were 67.86%. Conclusion The improvement on perinatal care,prompt management for high risk pregnancy, focus on the major risk factors, and selections of optimal delivery mode at right moment may be the key measures to reduce occurence of neonatal asphyxia and mortality.