新生儿窒息后遗症现状和影响因素

Status quo of neonatal asphyxia sequelae and influential factors

目的探讨新生儿窒息后遗症现状和影响因素。方法选择2008年7月至2010年7月在该院新生儿科住院治疗的268例窒息新生儿为研究对象,根据查阅文献总结出窒息新生儿后遗症出现的可能影响因素编制问卷,观察并记录窒息新生儿的临床资料,分析窒息新生儿出现后遗症的影响因素。结果 23例窒息新生儿出现后遗症,后遗症发生率为8.58%,多因素Lo-gistic回归分析结果显示窒息新生儿出生时意识改变、出生时惊厥、窒息严重程度和临床治疗1周后症状未消失是窒息后遗症发生的危险因素。结论窒息新生儿后遗症发生率较高,不仅窒息新生儿出生时意识改变、惊厥或者严重程度与否直接影响患儿的预后,同时,窒息新生儿抢救正确及时与否也与患儿的预后密切相关。

Objective To investigate the status quo of neonatal asphyxia sequelae and its influential factors.Methods 268 cases of asphyxia newborns treated in the neonatal department of this hospital from July 2008 to July 2010 were collected as the research subjects.The possible influencing factors caused neonatal sequalae by consulting literatures were adopted to prepare the questionnaire.The clinical data in asphyxia neonates were observed and recorded for finding out the influential factors causing asphyxia sequalae.Results 23 neonates of asphyxia arose sequelae,with the sequelae occurrence rate of 8.58%.The multivariate logistic regression analysis showed that born conscious change,born seizures,asphyxia severity and clinical symptoms non-disappearance after 1-week treatment were the risk factors of neonatal asphyxia seaualae.Conclusion The occurrence rate of neonatal asphyxia sequelae is high.Born conscious change,born seizures,asphyxia severity or severity degree affect the asphyxia neonatal prognosis.At the same time,whether the asphyxia neonates are rescued timely and correctly is closely related with the prognosis.