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目的:探讨新生儿窒息的产科原因。方法:对我院305例新生儿窒息的产科原因进行回顾性分析。结果:通过对新生儿窒息的产科原因分析可知,导致新生儿出现窒息的主要原因有早产、妊娠合并症、脐带因素、双胎、羊水过少、胎位和产程异常、早破水、胎儿生长受限、胎儿畸形等。在305例窒息新生儿中,由于早产有70例占23.0%,妊娠合并症22.3%,脐带因素15.4%,双胎10.2%,羊水过少9.8%,胎位和产程异常8.5%,早破水6.2%,FGK3.3%,胎儿畸形1.3%,其中造成重度窒息的主要因素为早产、妊娠合并症、脐带因素、羊水过少等。结论:提高产前检查质量,积极防治并发症,选择合理分娩方式,降低新生儿的窒息率。
Objective: To investigate the obstetric causes of neonatal asphyxia. Methods: Retrospective analysis of obstetric reasons of 305 neonates with asphyxia in our hospital. Results: According to the obstetric analysis of neonatal asphyxia, the main causes of neonatal asphyxia are prematurity, pregnancy complications, umbilical cord factors, twins, oligohydramnios, abnormal fetal position and birth process, premature rupture of water and fetal growth restriction , Fetal malformations and so on. Among 305 asphyxiated newborns, 70 (23.0%) had premature birth, 22.3% had pregnancy complications, 15.4% had umbilical cord problems, 10.2% had twins, 9.8% had oligohydramnios, 8.5% had abnormal fetal position and labor, and 6.2% , FGK3.3%, fetal malformation 1.3%, of which the main factors causing severe asphyxia are prematurity, pregnancy complications, umbilical cord factors, oligohydramnios and so on. Conclusion: To improve the quality of prenatal care, prevention and treatment of complications, choose a reasonable mode of delivery, reduce neonatal asphyxia.