94例新生儿窒息的临床分析

Clinical Analysis of 94 Cases of Asphyxia Neonatorum

目的:探讨94例新生儿窒息的原因,为预防新生儿窒息提供有效依据。方法:对2011年1月—2013年1月出生的94例新生儿窒息的临床资料进行回顾性分析。结果:新生儿窒息发生的主要原因包括早产、胎位异常及羊水异常,分别占27.66%、17.02%、14.89%。自然分娩新生儿与臀位产、胎吸产新生儿相比,新生儿窒息的发生率差异具有统计学意义(χ2分别为72.157和28.172,P<0.001);而与剖宫产新生儿窒息的发生率相比差异无统计学意义(χ2=5.169,P=0.053)。结论:引发新生儿窒息的主要原因为早产、胎位异常、羊水异常以及臀位产及胎吸产,临床应对其给予足够的重视,并加强妊娠期保健及产前检查工作,以便降低新生儿窒息的发生率,保障母婴健康。

Objective：To explore the cause of 94 cases of asphyxia neonatorum, and find out affirmative foundation for preventing asphyxia neonatorum. Methods：Take retrospective analysis on 94 children of asphyxia neonatorum in our hospital during January,2011 to January,2013. Results：The occurrence rate of asphyxia neonatorum can be attributed mainly to premature delivery（27.66%）,abnormal fetal position（17.02%） and abnormal amniotic fluid（14.89%）. There was a significant difference in the occurrence rate of asphyxia neonatorum between natural delivery and breech delivery（χ2=72.157,P〈0.001）;There was a significant difference in the occurrence rate of asphyxia neonatorum between natural delivery and fetus aspiration（χ2=28.172,P 〈0.001）; There was not significant difference in the occurrence rate of asphyxia neonatorum between natural delivery and cesarean delivery（χ2=5.169,P=0.053）. Conclusions： The main cause of neonatal asphyxia were premature birth,fetal abnormalities,abnormal amniotic fluid,breech births and fetal absorption capacity. We should pay more attention to antenatal care and prenatal examination so as to effectively reduce the occurrence of asphyxia neonatorum and guarantee the health of mothers and infants.