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目的探讨新生儿窒息的产科原因及防治措施。方法回顾性分析2006-10-01-2009-09-30发生的92例新生儿窒息病例,探讨各种产科因素与新生儿窒息的关系。结果脐带因素、羊水过少、早产为主要原因,发生新生儿窒息率分别为32.6%、26.09%、11.96%。重度窒息者的产科原因主要以产前出血(胎盘因素)、有妊娠合并症者、早产为主。结论做好孕期保健,及时处理高危妊娠,加强胎儿宫内监测,及时防治胎儿窘迫,适当放宽手术指征,适时终止妊娠,是降低新生儿窒息发生率的关键。
Objective To investigate the obstetric reasons and prevention measures of neonatal asphyxia. Methods A retrospective analysis of 92 cases of neonatal asphyxia in 2006-10-01-2009-09-30 was conducted to investigate the relationship between various obstetric factors and neonatal asphyxia. Results umbilical cord factors, oligohydramnios, premature birth as the main reason for the occurrence of neonatal asphyxia were 32.6%, 26.09%, 11.96%. Severe asphyxia obstetric reasons mainly to prenatal bleeding (placental factors), with pregnancy complications, premature birth. Conclusion It is the key to reduce the incidence of neonatal asphyxia by doing a good job in prenatal care, timely treatment of high-risk pregnancies, strengthening of fetal monitoring, timely prevention and treatment of fetal distress, appropriate relaxation of surgical indications, and timely termination of pregnancy.