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目的:分析导致新生儿窒息的相关因素,探讨临床新生儿窒息的预防措施。方法:分析2014年1月—2015年12月本院分娩发生新生儿窒息的95例临床资料并提出防护措施。结果:新生儿窒息病例中羊水异常16例(16.84%)、脐带异常14例(14.74%)、胎盘功能异常15例(15.79%),母体并发症早产、产前出血、妊娠期糖尿病导致新生儿重度窒息的比例最高,分别为45.46%、44.44%、37.50%。结论:羊水污染的严重程度可预警新生儿窒息严重程度;早产、产前出血、妊娠期糖尿病等孕期合并症发生新生儿窒息的风险增加,加强对高危因素的早期筛查及处理,提高产检意识、加强产时胎儿监护、严密监测胎儿宫内状态,避免发生宫内胎儿窘迫对降低新生儿窒息有着积极意义。
Objective: To analyze the related factors that lead to neonatal asphyxia and to explore the preventive measures of clinical neonatal asphyxia. Methods: From January 2014 to December 2015, 95 cases of neonatal asphyxia at delivery in our hospital were analyzed and protective measures were proposed. Results: 16 cases (16.84%) had amniotic fluid abnormality, 14 cases (14.74%) had umbilical cord abnormality, 15 cases (15.79%) had placental dysfunction, maternal complications such as premature delivery, prenatal bleeding and gestational diabetes caused by neonatal asphyxia Severe asphyxia the highest proportion, respectively 45.46%, 44.44%, 37.50%. Conclusion: The severity of amniotic fluid pollution can be used to predict the severity of neonatal asphyxia. The risk of neonatal asphyxia is increased in premature labor, prenatal bleeding, gestational diabetes mellitus and other complications during pregnancy. The early screening and treatment of high risk factors should be strengthened to improve the consciousness of childbirth , To strengthen the fetus during childbirth, close monitoring of intrauterine status, to prevent intrauterine fetal distress on the reduction of neonatal asphyxia has a positive meaning.