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目的:通过探讨新生儿窒息的产科原因,旨在为临床提出科学有效对策,提高新生儿出生质量提供理论依据。方法:选择2013年1月-2014年1月在我院出生的新生儿窒息患者89例,总结新生儿的出生资料,分析新生儿窒息的产科原因。结果:对新生儿窒息的临床资料进行总结,表明早产发生率为23.60%、胎儿宫内窘迫发生率为16.85%、妊娠高血压综合征的发生率为14.61%、胎位异常发生率为11.24%、胎儿畸形率为11.24%、脐带异常发生率为10.11%、巨大儿发生率为6.74%。结论:导致新生儿窒息的产科原因主要有早产、胎儿宫内窘迫、妊娠高血压综合征、胎位异常、胎儿畸形、脐带异常,在妊娠期间应加强对孕妇的产前保健并定期进行全面的产检,尽早发现导致新生儿窒息的危险因素进行针对性的护理,降低新生儿窒息的发生率提高新生儿出生质量。
Objective: To explore the obstetric causes of neonatal asphyxia and to provide a theoretical basis for putting forward scientific and effective countermeasures to improve the birth quality of neonates. Methods: From January 2013 to January 2014, 89 newborns with asphyxia were born in our hospital. The neonatal birth data were summarized and the obstetric causes of neonatal asphyxia were analyzed. Results: The clinical data of neonatal asphyxia were summarized, indicating that the incidence of preterm birth was 23.60%, the incidence of fetal distress was 16.85%, the incidence of pregnancy-induced hypertension was 14.61%, the incidence of fetal abnormalities was 11.24% Fetal malformation rate was 11.24%, the incidence of umbilical cord abnormalities was 10.11%, the incidence of macrosomia was 6.74%. Conclusions: Obstetric causes of neonatal asphyxia mainly include prematurity, fetal distress, pregnancy-induced hypertension syndrome, fetal position abnormality, fetal malformations and umbilical cord abnormalities. During pregnancy, antenatal care should be strengthened for pregnant women and regular check-ups should be conducted regularly , As soon as possible to find the cause of neonatal asphyxia risk factors for targeted care, reduce the incidence of neonatal asphyxia and improve the quality of newborn births.