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目的:了解新生儿窒息与HIE及窒息时围产因素与HIE的关系,探讨预防HIE的措施。方法:对85例窒息新生儿进行回顾性总结分析。结果:HIE的发生率及其程度1分种Apgar评分≤3分者与4～7分者之间无明显差异(x~2=1.95,1.80;均P>0.05),5分钟评分≤6分者明显高于>6分者x~2=14.4,18.25;均P<0.01),羊水胎粪Ⅱ°～Ⅲ°污染者明显高于I°污染者或无污染者(x~2=5.49,8.54;均P<0.05,0.01);HIE的发生与窒息儿的脐带情况、分娩方式关系不大。结论:及时处理宫内窘迫和出生时复苏抢救、缩短缺氧时间是预防和减轻HIE发生的主要措施。
Objective: To understand the neonatal asphyxia and HIE and asphyxia perinatal factors and the relationship between HIE, to explore measures to prevent HIE. Methods: 85 cases of asphyxia neonates were retrospectively analyzed. Results: There was no significant difference in the incidence and extent of HIE between 1-point Apgar scores ≤3 and 4-7 (x ~ 2 = 1.95, 1.80; all P> 0.05) Were significantly higher than> 6 points x 2 = 14.4,18.25; all P <0.01), the degree of amniotic fluid manure Ⅱ ° ~ Ⅲ ° was significantly higher than that of I ° polluters or non-polluters (x 2 = 5.49, 8.54; all P <0.05, 0.01). The incidence of HIE was not related to the umbilical cord status and delivery mode of asphyxiated children. Conclusion: Timely management of intrauterine distress and resuscitation at birth and shortening the duration of hypoxia are the main measures to prevent and reduce the occurrence of HIE.