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目的对新生儿窒息的产科因素进行分析,对新生儿窒息预防手段进行探讨。方法选取武陟县人民医院2011年3月至2013年5月收治的新生儿1080例,其中新生儿窒息132例,回顾性分析患儿的临床资料及窒息的产科因素。结果在分娩方式中,阴道助产是造成新生儿窒息的主要原因(P<0.05)。脐带因素、胎盘因素与产程延长或胎位异常因素是造成新生儿窒息的主要母体因素,同时胎儿窘迫是新生儿窒息的重要原因。结论在新生儿窒息中,母体脐带因素、胎盘因素与产程延长或胎位异常、胎儿宫内窘迫、分娩方式的选择不合理等均是新生儿窒息的产科因素,在产妇分娩时应对这些问题给予充分重视,采取有效措施加以避免。
Objective To analyze the obstetric factors of neonatal asphyxia and discuss the preventive measures of neonatal asphyxia. Methods 1080 cases of newborns admitted to Wuyi County People’s Hospital from March 2011 to May 2013 were selected, of which 132 cases were neonatal asphyxia. The clinical data and the obstetric factors of asphyxia were retrospectively analyzed. Results In mode of delivery, vaginal delivery was the main cause of neonatal asphyxia (P <0.05). Umbilical cord factors, placental factors and prolonged labor or abnormal fetal position is the main maternal factor causing neonatal asphyxia, and fetal distress is an important cause of neonatal asphyxia. Conclusion Neonatal asphyxia, maternal umbilical cord factors, placental factors and prolonged labor or fetal position abnormalities, fetal distress, the mode of delivery is not reasonable and so are neonatal asphyxia obstetric factors in the delivery of these issues should be fully given Emphasis, take effective measures to be avoided.