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围生期高危因素对胎儿窘迫、新生儿窒息的影响 被引量:6

Influence of perinatal high risk factors on fetal distress and neonatal asphyxia
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摘要 目的研究围生期高危因素对胎儿窘迫、新生儿窒息的影响。方法选取该院妇产科2017年11月至2018年11月136例分娩产妇,对其临床资料进行回顾性分析,统计分娩产妇发生胎儿窘迫、新生儿窒息的比例,对分娩产妇发生胎儿窘迫、新生儿窒息的影响因素以及高危因素进行总结。结果共136例分娩产妇,发生胎儿窘迫、新生儿窒息23例,发生率为16.91%(23/136);其中胎儿窘迫11例,发生率为8.09%(11/136),占所有胎儿窘迫、新生儿窒息发生产妇的47.83%(11/23);新生儿窒息12例,发生率为8.82%(12/136),占所有胎儿窘迫、新生儿窒息发生产妇的52.17%(12/23)。年龄≥35周岁、胎膜早破、贫血、胎盘异常、羊水污染以及妊娠期高血压、妊娠期糖尿病、脐带绕颈、剖宫产、产程延长分娩产妇发生胎儿窘迫、新生儿窒息的风险明显较高,比较差异有统计学意义(P<0.05)。经Logistic回归分析,年龄、胎膜早破、羊水污染、妊娠期糖尿病、妊娠期高血压以及产程延长、脐带绕颈为胎儿窘迫、新生儿窒息发生的围生期高危因素,比较差异有统计学意义(P<0.05)。结论对分娩产妇发生胎儿窘迫、新生儿窒息的影响因素以及高危因素进行分析,有利于制定具有针对性的干预措施,保障母婴安全。 【Objective】To study the influence of perinatal high risk factors on fetal distress and neonatal asphyxia.【Methods】A retrospective analysis was made on the clinical data of 136 parturients in the Department of Obstetrics and Gynecology from November 2017 to November 2018.The incidence of fetal distress and neonatal asphyxia in parturients was counted.The influencing factors of fetal distress and neonatal asphyxia in parturients and the high risk factors were summarized.【Results】In 136 parturients,there were 23 cases[16.91%(23/136)]had fetal distress and neonatal asphyxia,including 11 cases of fetal distress[8.08%(11/136)],accounting for 47.53%(11/23)of all lying-in women who had fetal distress and neonatal asphyxia,and 12 cases of neonatal asphyxia[8.82%(12/136)],accounting for 52.17%(12/23)of all lying-in women who had fetal distress and neonatal asphyxia.The risk of fetal distress and neonatal asphyxia was significantly higher in women over 35 years of age,with premature rupture of membranes,anemia,abnormal placenta,amniotic fluid contamination,gestational hypertension,gestational diabetes mellitus,umbilical cord around neck,cesarean section and prolonged labor(P<0.05).Logistic regression analysis showed that age,premature rupture of membranes,amniotic fluid contamination,gestational diabetes mellitus,gestational hypertension,prolonged labor,cord around neck were the perinatal risk factors for fetal distress and neonatal asphyxia(P<0.05).【Conclusion】The analysis of the influencing factors of fetal distress,neonatal asphyxia and high-risk factors in parturient women is conducive to formulating targeted interventions and ensuring the safety of mothers and infants.
作者 吴炎章 杨惠红 田郭军 WU Yanzhang;YANG Huihong;Tian Guojun(Department of Neonatology,Fuyong People's Hospital,Bao'an District,Shenzhen,Guangdong 518103,China)
出处 《中国医学工程》 2019年第12期10-13,共4页 China Medical Engineering
基金 深圳市宝安区科技局(20180327161014687)
关键词 围生期 高危因素 胎儿窘迫 新生儿窒息 影响 perinatal period high risk factors fetal distress neonatal asphyxia impact
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