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目的探讨预防新生儿窒息的措施,以降低新生儿窒息的发生率。方法收集我院124例新生儿窒息的临床资料,分析发病的相关高危因素。结果窒息的相关因素依次为:早产因素34例居首位,占27.4%;羊水过少占14.5%;胎位异常占10.5%;产程异常占9.7%;期待因素(缠绕、脱垂及过短)占8.9%;巨大儿占8.9%;胎盘早剥及前置胎盘占6.5%;妊娠高血压综合征占5.6%;宫内生长迟缓(IUGR)占3.2%。结论加大孕产妇分级管理的力度,加强孕期保健和产前检查,适时纠正臀位,尽量减少早产,及早发现和正确处理胎儿宫内窘迫,是降低新生儿重度窒息的有效措施。
Objective To explore measures to prevent neonatal asphyxia and to reduce the incidence of neonatal asphyxia. Methods The clinical data of 124 neonates with asphyxia in our hospital were collected to analyze the risk factors associated with the disease. Results Asphyxia related factors were: 34 cases of premature labor ranked first, accounting for 27.4%; oligohydramnios accounted for 14.5%; fetal position abnormalities accounted for 10.5%; birth defects accounted for 9.7%; expected factors (winding, prolapse and too short) Accounting for 8.9%; macrosomia accounting for 8.9%; placental abruption and placenta previa accounted for 6.5%; pregnancy-induced hypertension syndrome accounted for 5.6%; intrauterine growth retardation (IUGR) accounted for 3.2%. Conclusion It is an effective measure to reduce severe neonatal asphyxia by intensifying grading management of pregnant women, strengthening prenatal care and prenatal care, correcting breech in time, minimizing premature delivery, and early detection and correct treatment of fetal distress.