68例新生儿窒息相关脏器损害危险因素分析

Analysis of risk factor for anoxia newborn complicated with multi-organ damage

目的:探讨新生儿窒息后并发多脏器损害的发生率及相关危险因素。方法:将68例窒息新生儿分为轻度窒息组和重度窒息组,对其多脏器损害发生率及危险因素进行分析。结果:窒息后脏器损害发生率为58.82%,多脏器损害发生率为48.53%,重度窒息组中多脏器损害的发生率明显高于轻度窒息组。多脏器损害的发生与羊水污染、脐带绕颈、窒息程度及合理复苏有明显相关性。结论:如出现羊水污染及脐带因素所致的宫内窘迫应及时终止妊娠,进一步加强监护及产科与儿科合作,提高复苏技术,防止多脏器损害的发生。

Objective： To explore the incidence rate and correlated risk factor for anoxia newborn complicated with multi-organ damage. Methods： 68 anoxia newborn were chosen for case group, which were divided into severe group and mild group, incidence rate and correlated risk factor were analyzed for anoxia newborn complicated with multi-organ damage. Results： The incidence rate for anoxia newborn was 58.82% and the incidence rate for multi- organ damage was 48.53%, the incidence rate for multi-organ damage in severe group was higher than mild group, multi-organ damage was correlated to amniotic fluid pollution, cord around neck, apnoea degree and reasonable anabiosis. Conclusion： It should be terminated for pregnancy when amniotic fluid was polluted and cord around neck happened associated with umbilical core factor. It should be reinforced that obstetrics-pediatrics cooperated and elevated resuscitation technique, which could reduce the occurrence of multi-organ damage