目的分析新生儿窒息的产科原因。方法选取该院妇产科近年来收治的窒息新生儿86例(窒息组),将其与80例正常新生儿(健康组)临床资料进行对比分析,探讨新生儿窒息的产科原因。结果窒息组母体合并症、酗酒等比例大于对照组(P<0.05);窒息组新生儿脐带异常如缠绕、打结、过短、过长、脱垂或附着异常等明显大于健康组新生儿(P<0.05);窒息组患儿羊水过少、产程异常、胎位异常等发生率亦显著高于健康组(P<0.05)。28例轻度窒息及45例中度窒息患儿经积极治疗后均抢救成功;13例重度窒息患儿经积极治疗后抢救成功10例,死亡3例,抢救成功率为96.5%。结论针对新生儿窒息采取有效干预,强化孕期及产时监护,提高完善接产技术有助于预防新生儿性窒息。 Objective To analyze the obstetric causes of neonatal asphyxia. Methods Eighty-six asphyxiated newborns admitted to our department were selected from obstetrics and gynecology department in recent years. The clinical data of 80 asymptomatic neonates (healthy group) were compared and analyzed to discuss the obstetric reasons of neonatal asphyxia. Results The proportion of maternal complications and alcohol abuse in the asphyxia group was significantly higher than that in the control group (P <0.05). The asphyxia group had abnormal umbilical cord entanglements such as entanglement, kinking, shortness, excessive length, prolapse or abnormal adhesion, P <0.05). The incidence of oligohydramnios, birth disorders and abnormal fetal position in asphyxia group was significantly higher than that in healthy group (P <0.05). Twenty-eight children with mild asphyxia and 45 children with moderate asphyxia were successfully treated after active treatment. Thirteen patients with severe asphyxia were successfully treated and 10 were successfully rescued. Three patients died, and the success rate of rescue was 96.5%. Conclusion Effective intervention for neonatal asphyxia, intensive care during pregnancy and childbirth, improve and improve the delivery of technology to help prevent neonatal asphyxia.