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目的调查2006-2015年深圳市龙岗区新生儿重度窒息发生情况,并分析导致新生儿重度窒息的相关因素。方法取2006-2015年深圳市龙岗区医疗卫生机构新生儿基础资料388 181份,统计重度窒息发生率及死亡率并做趋势分析,采用单因素及Logistic回归多因素分析新生儿重度窒息相关因素。结果 2006-2015年龙岗区新生儿重度窒息发生率整体上呈现下降趋势,由5.03‰下降至1.00‰,2015年重度窒息新生儿死亡率为十年间最低,为21.95%。单因素及Logistic回归多因素分析结果提示:年龄≥35岁、孕期保健次数<5次、早产、妊娠期高血压及胎盘异常是新生儿重度窒息的危险因素(P<0.05)。结论对于新生儿重度窒息高危孕产妇,应加强孕期保健及监测,提高妇幼保健水平,做到及早诊断、及时干预。
Objective To investigate the incidence of severe asphyxia of newborns in Longgang District of Shenzhen City from 2006 to 2015 and analyze the related factors leading to severe asphyxia in newborns. Methods A total of 388 181 neonatal basic data of medical and health institutions in Longgang District of Shenzhen City from 2006 to 2015 were collected. The incidence of severe asphyxia and mortality were calculated and trend analysis was carried out. Single factor and logistic regression were used to analyze the related factors of neonatal severe asphyxia. Results The incidence of neonatal severe asphyxia in Longgang District decreased from 5.03 ‰ to 1.00 ‰ in 2006-2015. The mortality rate of severe asphyxia in 2015 was 21.95%, the lowest in 10 years. The multivariate analysis of single factor and Logistic regression indicated that the age≥35 years and the number of health care during pregnancy were less than 5 times. Preterm labor, gestational hypertension and placental abnormalities were the risk factors of neonatal severe asphyxia (P <0.05). Conclusion For neonates with severe asphyxia at high risk of pregnant women, should strengthen pregnancy care and monitoring, improve the level of maternal and child health, early diagnosis and timely intervention.