新生儿窒息原因分析

The Analysis of the Cause of Neonatal Asphyxia

目的 :探讨新生儿窒息的产科原因。方法 :对我院 1997～ 1998年新生儿窒息病例 12 88例进行回顾性分析 ,并比较产科各因素对新生儿窒息的影响。结果 :新生儿窒息率为 14.96 % ,其中剖宫产占 2 1.89% ,脐带异常占19.92 % ,早产占 16 .8% ,妊高征占 11.5 4%。结论 :剖宫产、脐带异常、早产、妊高征是导致新生儿窒息的主要原因。加强孕期保健 ,预防早产 ,减少妊娠并发症 ,加强产前、产时监护 ,正确处理产程 ,降低剖宫产率 。

Objective: To explore the obstetric causes of neonatal asphyxia. Methods: 1288 cases of neonatal asphyxia of in our hospital during 1997～1998 were retrospectively reviewed. Results: The rate of neonatal asphyxia was 14.96%. Among those with neonatal asphyxia, cesarean section covered 21.89%, abnormal cord did 19.92%, and premature delivery did 16.8%, respectively.Conclusion: The major causes of neonatal asphyxia were cesarean section, abnormal cord, premature delivery, and PIH. Improving healthy protection for pregnancy women, prevent premature delivery, decrease pregnancy complications, strengthen the monitoring of prepartum and intrapartum, and controlling the rate of cesarean section could decrease both neonatal morbidity and mortality.