目的本文对剖宫产手术1200例所发生的116例新生儿窒息进行临床分析,旨在提高基层妇幼人员对新生儿窒息复苏的抢救能力,以降低新生儿的死亡率。方法对116例新生儿窒息的原因、并发症、抢救经过进行回顾性分析。结果新生儿窒息复苏抢救成功率为91.4%,死亡率为8.6%。新生儿窒息原因中以脐带因素、胎盘因素为主要原因;并发症中以缺氧缺血性脑病(HIE)、颅内出血最严重,以肾脏损害为多发。重度窒息比率最高的是早产,其次为过期妊娠,妊高征等。结论加强孕期保健监护,对高危孕妇作胎儿重点监护,提高产科质量;及时发现窒息因素,防止孕期并发症,正确的心肺复苏是降低新生儿窒息及死亡的主要措施。 Objective To analyze 116 cases of neonatal asphyxia occurring in caesarean operation in 1200 cases and to improve the rescue ability of maternal and child patients in neonatal asphyxia resuscitation to reduce the neonatal mortality rate. Methods The causes, complications and rescue of 116 neonates with asphyxia were analyzed retrospectively. Results The success rate of rescue resuscitation asphyxia was 91.4% and mortality rate was 8.6%. Neonatal asphyxia reasons to umbilical cord factors, placental factors as the main reason; complications of hypoxic-ischemic encephalopathy (HIE), the most severe intracranial hemorrhage, renal damage as multiple. Severe asphyxia the highest rate is premature, followed by expired pregnancy, pregnancy-induced hypertension and so on. CONCLUSIONS: Strengthening the monitoring of pregnancy health care, focusing on the fetus in high-risk pregnant women and improving obstetric quality; timely detection of asphyxia factors to prevent complications during pregnancy, correct CPR is to reduce neonatal asphyxia and death of the main measures.