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目的:探讨新生儿窒息的相关因素。方法:分析本院2006年—2014年间出生的272例窒息新生儿的孕周、母亲年龄、分娩方式、胎儿体重、1分钟的Apgar评分和有无新生儿死亡等因素,使用SPSS 10.0统计软件包进行Logistic回归分析。结果:新生儿窒息272例,发生率为3.0%。其中轻度窒息228例,占窒息总数的83.8%,重度窒息44例,占16.2%新生儿死亡12例,占窒息总数的4.4%。Logistic回归分析,显示胎儿体重和分娩方式与新生儿窒息的发生有关。272例患儿的平均体重(2 936.07±887.47)g,(OR 1.01,95%CI 1.36~1.77,P<0.01)。272例窒息新生儿阴道分娩144例(52.9%),剖宫产128例(47.1%)。(OR 1.14,95%CI0.01~0.26,P<0.01)。结论:胎儿体重和分娩方式与新生儿窒息的发生有关。
Objective: To explore the related factors of neonatal asphyxia. METHODS: The gestational age, mother’s age, mode of delivery, fetal weight, 1-minute Apgar score, and neonatal deaths of 272 asphyxial newborns born in our hospital from 2006 to 2014 were analyzed using the SPSS 10.0 statistical software package Logistic regression analysis. Results: 272 cases of neonatal asphyxia, the incidence was 3.0%. Among them, mild asphyxia 228 cases, accounting for 83.8% of the total number of asphyxia, 44 cases of severe asphyxia, accounting for 16.2% of neonatal deaths in 12 cases, accounting for 4.4% of the total number of asphyxia. Logistic regression analysis showed that fetal weight and mode of delivery were related to neonatal asphyxia. The average body weight of 272 children (2936.07 ± 887.47) g, (OR 1.01, 95% CI 1.36-1.77, P <0.01). Of the 272 asphyxiated newborns, 144 (52.9%) had vaginal delivery and 128 (47.1%) had cesarean delivery. (OR 1.14, 95% CI 0.01 to 0.26, P <0.01). Conclusion: Fetal weight and mode of delivery are related to neonatal asphyxia.