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目的:研究探讨新生儿窒息的常见原因以及分娩方式与窒息发生的关系,为临床新生儿窒息的治疗提供理论参考依据。方法:回顾性总结分析2009年1月至2012年12月期间我院妇产科发生新生儿窒息的40例患儿的临床病例资料,对新生儿窒息的常见原因以及分娩方式与窒息的关系进行总结分析。结果:40例新生儿窒息患儿当中由于脐带因素导致的新生儿窒息13例,占32.50%;羊水过少8例,占20.00%;胎盘功能异常9例,占22.50%,脐带因素、羊水过少、胎盘功能异常是导致新生儿窒息的三个主要原因;自然分娩与臀位产以及胎吸产相比,新生儿窒息发生率均差异具有统计学意(P<0.05),自然分娩与剖宫产相比,差异无统计学意义(P>0.05),剖宫产与臀位产以及胎吸产相比,新生儿窒息发生率均差异具有统计学意义(P<0.05)。结论:新生儿窒息是造成新生儿死亡的一个重要原因,临床医生和护理人员要不断提高业务水平,重视对产妇的产前检查和围产期保健,尽量防止新生儿窒息的发生,及时有效的解决胎儿宫内窘迫等问题,降低新生儿窒息的发生率。
Objective: To study the common causes of neonatal asphyxia and the relationship between mode of delivery and asphyxia, and to provide a theoretical reference for the treatment of neonatal asphyxia. Methods: The clinical data of 40 children with obstructive neonate asphyxia in obstetrics and gynecology department from January 2009 to December 2012 were retrospectively analyzed. The common causes of neonatal asphyxia and the relationship between mode of delivery and asphyxia Analyzed. Results: Among the 40 neonates with asphyxia, 13 cases of neonatal asphyxia due to umbilical cord factors accounted for 32.50%; oligohydramnios were 8 cases (20.00%), 9 cases of abnormal placenta (22.50%), umbilical cord factors, amniotic fluid Fewer placental dysfunction was the three main causes of neonatal asphyxia. Compared with breech birth and spontaneous abortion, the incidence of asphyxia in spontaneous labor was statistically significant (P <0.05) There was no significant difference in uterine function between the two groups (P> 0.05). The incidence of neonatal asphyxia in cesarean section was significantly lower than that in cesarean section and fetal abortion (P <0.05). Conclusions: Neonatal asphyxia is an important cause of neonatal death. Clinicians and nursing staff should continuously improve their professional skills, attach importance to prenatal care and perinatal care, try their best to prevent neonatal asphyxia, and timely and effective To solve problems such as fetal distress and reduce the incidence of neonatal asphyxia.