新生儿窒息原因的探讨

Exploration for causes of neonatal asphyxia

目的 :探讨新生儿窒息的原因 ,降低围产儿死亡率。方法 :回顾分析 2 82例新生儿窒息的临床资料 ,分析孕龄、出生体重、分娩方式及产程时间与新生儿窒息的关系。结果 :新生儿窒息的发生率以行臀牵引术分娩者最高 ,发生率 5 8 33% (14 / 2 4 ) ,显著高于自然分娩组的 0 14 % (4/ 2 918)(P <0 0 5 ) ,其次为胎吸助产 ,剖宫产分娩。结论 :选择适当的分娩方式对降低新生儿窒息和围产儿死亡率有重要意义。

Objective:To investigate the causes of neonatal asphyxia and how to lower perinatal mortality Method:The clinical data of 282 new born asphyxia such as bodyweight,pregnancy method,labour process had been retrospectively analyzed Result:The incidence of newborn asphyxia is highest in breech extraction cases,58 32%(14/24),significanthy higher than natural vaginal labour group 0 14%(4/)(P<0 05),then vaccum extraction delivery group,cesarean group Conclusion:It's important to accept a suitable delivery mode for reducing incidence ratio of neonatal asphyxia and motality of perinatal newborn