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目的了解新生儿窒息相关因素,寻找防治措施,以提高产科质量。方法将新生儿窒息患儿364例作为观察组,随机取同期分娩正常儿350例作为对照组,对产前及产时相关因素进行回顾性分析。结果新生儿窒息患儿364例,发生率为5.93%(364/6134),结果显示随着胎儿宫内窘迫发生的时间越长,新生儿窒息发生率越高,有统计学意义,P<0.01;早产儿、过期产儿新生儿窒息发生率均高于足月妊娠,有统计学意义,P<0.01;分娩方式与新生儿窒息的关系,剖宫产二组比较接近,窒息组阴道手术助产明显高于正常组,P<0.01。结论提高产前检查质量,搞好围生期保健,指导孕产妇搞好自我监护是降低新生儿窒息发生率的关键措施。
Objective To understand the related factors of neonatal asphyxia and seek prevention and treatment measures to improve obstetric quality. Methods 364 neonates with asphyxia were selected as the observation group and 350 normal children of the same period were randomly selected as the control group. The factors related to prenatal and maternity were retrospectively analyzed. Results There were 364 neonates with asphyxia (5.93%, 364/6134). The results showed that as the time of fetal distress increased, the incidence of neonatal asphyxia was higher (P <0.01) ; The incidence of neonatal asphyxia in premature children and expired children was higher than that of term pregnancy, with statistical significance (P <0.01); the relationship between delivery mode and neonatal asphyxia, cesarean section two groups were relatively close, asphyxia group vaginal surgery midwifery Significantly higher than the normal group, P <0.01. Conclusions The key measures to reduce the incidence of neonatal asphyxia are to improve the quality of prenatal examination, improve the perinatal care and guide the pregnant women in self-monitoring.