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目的:探讨新生儿窒息产科相关因素,提出防治策略,进一步提高产科医疗质量和水平,降低新生儿窒息发生率。方法:运用回顾分析的方法将2008～2009年在该院产科分娩的81例新生儿窒息的病案资料进行回顾分析,分析新生儿窒息相关的产科因素,分娩方式的选择对新生儿窒息的影响。结果:脐带因素、羊水及胎盘因素是引起新生儿窒息的主要因素。自然分娩与剖宫产引起新生儿窒息的发生率统计分析无差异。阴道助产引起新生儿窒息的发生率较前两者明显增加,差异有统计学意义,P<0.05。结论:加强围生期保健,加强产前及产时胎儿监护,早期综合分析可能发生新生儿窒息的产科因素,把握分娩时机,正确的选择分娩方式,熟练掌握新生儿复苏抢救技术是降低新生儿窒息及围产儿死亡的关键措施。
Objective: To explore the related factors of neonatal asphyxia obstetrics and gynecology, put forward prevention and treatment strategies to further improve the quality and level of obstetric care and reduce the incidence of neonatal asphyxia. Methods: The retrospective analysis of 81 cases of neonatal asphyxia in the hospital from 2008 to 2009 were retrospectively analyzed. The impact of neonatal asphyxia-related obstetric factors and mode of delivery on neonatal asphyxia were analyzed. Results: umbilical cord factors, amniotic fluid and placental factors are the main factors causing neonatal asphyxia. There was no difference in the incidence of neonatal asphyxia between natural childbirth and cesarean section. Vaginal midwifery caused the incidence of neonatal asphyxia than the former two significantly increased, the difference was statistically significant, P <0.05. Conclusion: To strengthen the perinatal care, strengthen prenatal and postnatal care, early comprehensive analysis of neonatal asphyxia may obstetric factors, to grasp the timing of delivery, the correct choice of mode of delivery, proficiency in neonatal resuscitation and rescue techniques to reduce neonatal Asphyxia and Perinatal Death Key Measures.