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目的 :探讨新生儿窒息的危险因素,为临床干预提供依据,以降低新生儿窒息发生率。方法 :选择2013年1月~2016年12月在浙江省瑞安市妇幼保健院分娩的18822例活产婴儿,分为窒息组135例和非窒息组18687例,对两组产妇户籍类别、年龄、产次、胎数、妊娠期合并症、胎盘和脐带异常情况、羊水性质、分娩方式和婴儿性别、出生体重、胎龄等资料收集,用多因素Logistic回归分析筛选危险因素。结果:妊娠期高血压、前置胎盘和胎盘早剥、产钳助娩、臀位助娩、男婴、羊水Ⅲ度污染、胎儿窘迫、脐带缠绕、早产儿等是新生儿窒息危险因素。结论 :加强围生期保健,重视产前及产时胎儿监护,及时做好宫内复苏和适时终止妊娠,可有效降低新生儿窒息发生率。
Objective: To explore the risk factors of neonatal asphyxia and provide basis for clinical intervention to reduce the incidence of neonatal asphyxia. Methods: From January 2013 to December 2016, 18,822 live-born infants delivered at Maternal and Child Health Hospital of Ruian City in Zhejiang Province were divided into 135 cases of asphyxia group and 18,687 cases of non-asphyxia group. The type, age, The number of births, number of pregnancies, complications during pregnancy, placenta and umbilical cord abnormalities, amniotic fluid properties, mode of delivery and infant sex, birth weight and gestational age were collected. Multivariate logistic regression analysis was used to screen risk factors. Results: Hypertension in pregnancy, placenta previa and placental abruption, forceps delivery, breech delivery, baby boy, amniotic fluid Ⅲ degree of pollution, fetal distress, umbilical cord entanglement, premature babies and other neonatal asphyxia risk factors. Conclusion: Strengthening perinatal care, focusing on prenatal and postpartum fetal care, timely and good intrauterinea recovery and timely termination of pregnancy, can effectively reduce the incidence of neonatal asphyxia.