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为了掌握新生儿产伤性骨折的相关因素及防治,采用回顾性分析及Poisson检验。得出结果,(1)臀助产及臀牵引的发生率最高,其次是胎头吸引术,有统计学差异(P<0.05)。(2)巨大儿产伤性骨折最高,其次为早产儿及低体重儿,有统计学差异(P<0.05)。(3)产伤性骨折中锁骨骨折占第一位,发生率为0.057％,大多为无症状因其他原因进行X线检查时发现。结论强调,加强产科质量管理,健全孕产妇医疗保健制度。纠正孕产期并发症,及时识别异常分娩,对产前诊断或高度怀疑为巨大儿者;臀位足月妊娠应放宽剖宫产指征。提高接产者的技术水平及应急能力,是降低新生儿产伤性骨折的重要环节。
In order to grasp the related factors and prevention and treatment of neonatal traumatic fracture, retrospective analysis and Poisson’s test were used. The results were as follows: (1) The incidence of hip birth and hip traction was the highest, followed by fetal head aspiration, with statistical significance (P <0.05). (2) Huge pediatric traumatic injury was highest, followed by premature infants and low birth weight infants, with statistical difference (P <0.05). (3) fractures of clavicle in traumatic fracture accounted for the first place, the incidence was 0.057%, mostly asymptomatic due to other reasons found when X-ray examination. The conclusion emphasizes that to strengthen obstetric quality management and improve maternal health care system. Correct maternal and child complications, timely identification of abnormal delivery, prenatal diagnosis or a high degree of suspicion of large children; cotains full-term pregnancy should be relaxed cesarean indications. Improve the technical level of emergency and emergency response capacity, is to reduce neonatal traumatic fracture an important part.