新生儿窒息相关原因分析及预防措施

Analysis of Neonatal Asphyxia Related Causes and Preventive Measures

目的:探讨预防新生儿窒息的措施以降低新生儿窒息的发生率。方法:收集94例重度新生儿窒息的临床资料,分析发病的相关高危因素。结果:重度窒息的相关因素依次为胎儿宫内窘迫、脐带因素(缠绕、脱垂、过短)、早产、臀位、重度妊高征、妊娠晚期出血(胎盘早剥及前置胎盘)、畸形。结论:加大对孕产妇分级管理的力度,加强孕期保健和产前检查,及早发现和治疗妊娠高血压综合征,适时纠正臀位,尽量减少早产,及早发现和正确处理胎儿宫内窘迫,及早发现和处理畸形儿,制止非法接生,是降低新生儿重度窒息的有效措施。

Objective：To investigate measures of preventing asphyxia neonatorum so as to reduce the incidence of asphyxia neonatorum.Methods：94 Cases of clinical asphyxia neonatorum from Leshan Hospital were collected and analyzed.Related high risk factors and effective precaution measures of reducing the incidence of asphyxia neonatorum were studied.Results：Seven related factors of critical asphyxia neonatorum in the cases were：fetal distress;umbilical factors-torsion,prolapse,shortening;premature delivery;breech presentation;high risk PIH;monstrosity;placental abruption and placenta praevia.Conclusion：Effective measures of reducing critical asphyxia neonatorum are to strengthen the monitoring of pregnant women and their antenatal care so as to find and treat PIH early and correct breech presentation in time,try to reduce premature delivery,find early and treat fetal distress properly,and prohibit illegal accouchement.