窒息新生儿259例的临床分析

Clinical Analysis on 259 Cases of Neonatal Asphyxia

目的回顾分析以往窒息新生儿的临床资料,总结经验,采取有效的干预措施,降低新生儿的窒息率,防止窒息并发症的发生。方法对2004年—2008年在本院出生的窒息新生儿进行回顾分析,对窒息发生的原因、发病率及合并症进行统计学分析。结果窒息发生原因的前三位依次为胎儿窘迫、早产、母亲妊娠期合并高血压,随着我院年分娩量的增加,窒息发生率逐年下降,尤其是重度窒息的发生率更低,本文新生儿窒息并发症多见于以下系统,依次为:心脏损伤、肺损伤、肾损伤、脑损伤及高胆红素血症。结论积极加强围生期的保健工作,预防窒息的发生,熟练掌握新法复苏的技能,减少各种窒息并发症的发生,减轻窒息后遗症的影响是我们今后努力的方向。

Objective Take effective measures to reduce asphyxia rate of the neonatal and prevent asphyxia complication by analyzing the clinical data of neonatal asphyxia retrospectively.Methods Retrospectively analyze the clinical data of cases with neonatal asphyxia in our hospital from 2004 to 2008 and statistically analyze the related reasons,incidence and complication of live-born neonates.Results The first three major reasons of neonatal asphyxia were fetal distress in uterus,premature delivery,hypertensive disorders in pregnancy.With the increase of annual childbirth in our hospital,the incidence of neonatal asphyxia increasingly decreased,especially that of severe asphyxia.Most of the neonatal asphyxia complication in this article is related to the following systems：heart injury,lung injury,kidney injury,cerebral injury,and hyperbilirubinemia.Conclusion We shall pay more attention in the future to enhance health care in perinatal period,take precautions against neonatal asphyxia,master well about the skill of new resuscitation measures for newborn and cut down the incidence rate of all kinds of asphyxia complication.