168例新生儿窒息的产科原因分析及防治措施

The cause analysis in prevention and control measures in 168 newborns suffocation

目的探讨产科新生儿窒息的原因,寻找预防措施。方法回顾性分析168例新生儿窒息的产科原因,提出预防措施。结果新生儿窒息的主要产科原因及其百分率是:脐带因素,占36.91%、羊水因素,占23.21%和胎盘因素,占14.88%,合计126例,占75.00%;另外胎儿因素、产程异常、分娩方式及不明原因共42例,占25.00%。加强产前保健,重视产科高危因素,提高产前检查质量,产时对有高危因素的孕妇做好胎儿重点监护,防治胎儿宫内窘迫,适时剖宫产终止妊娠和提高新生儿复苏技术,是预防新生儿窒息的有效措施。结论增强孕期保健,加强产前、产时胎心监护及B超检查,做好产前检查,早期发现和治疗胎儿宫内窘迫,降低早产率,是降低新生儿重度窒息的有效措施。

Objective To investigate the cause of the choking maternity newborn, looking for preven- tive measures. Methods Of the their analysis of stifling newborn maternity causes and prevention measures were put forward 168 cases. Results The main reason newborn choking maternity and percentage was： umbili- cal cord factors, 36. 91%, amniotic fluid factors, accounting for 23.21% and placenta factors, accounting for 14. 88%, total in 126 cases, accounting for 75.00%. In addition the fetus factors, premature birth, abnormal way and unexplained total 42 cases, accounting for 25.00%. Trician risk factors, improve antenatal examination quality, producing a high risk factors of the pregnant women to fetal key monitoring, control within the fetal dis- tress, timely termination of pregnancy and improve cesarean section neonatal recovery technology, the effective measures to prevent neonatal suffocation. Conclusion Enhance prenatal care, strengthen prenatal, producing taixin monitoring and B ultrasonic examination, completes the antenatal examination, early detection and treat- ment intrauterine fetal distress, hypertension syndrome, vibration uteruses freak, reduce premature birth rate, is to reduce the heavy asphyxiation of effective measures.