13O例新生儿窒息的原因分析

The obstetric etiologies of asphyxia neonatorum： an analysis of 130 cases

目的从产科角度寻找新生儿窒息的原因，提出有效的预防措施，降低新生儿窒息发生率和死亡率，提高产科质量。方法对2006年1月-2008年1月在本院出生并发生新生儿窒息130例的相关因素进行回顾性分析。结果脐带因素、胎盘功能不全及羊水过少为主要原因分别占24．6％、23．1％、21．5％，重度窒息率以产前出血比率最高，占41．7％，其次为羊水过少、胎盘功能不全、早产。结论做好产前检查，及时治疗妊娠并发症，加强产前、产时胎心监护及B超检查，及时防治胎儿宫内窘迫。

Objective To find the etiology of asphyxia neonatorum, and to put forward effective prevention measures for redueing the incidence and mortality rate of asphyxia neonatorum. Methods The related factors of 130 cases of asphyxia neonatorunl during January 2006 to January 2008 were retrospectively analyzed. Results Of the etiologies of asphyxia neonatorum, 24.6% were due to umbilical cord, 23.1% were placental function defect, 21.5% were hypamnion. Antepartum hemorrhage was the major cause of severe asphyxia （41.7%）, followed by hypamnion, placental function defect, then premature delivery. Conclusions Careful prenatal examinations should be performed to treat pregnancy complications promptly. Antepartum and intrapartum electronic fetal monitoring and type-B ultrasonic examination should he done to prevent and treat intrauterine fetal distress.