围生期高危因素与新生儿窒息关系的临床分析(1)
[摘要] 目的 分析围生期高危因素与新生儿窒息的关系，探讨引起新生儿窒息的产科高危因素和必要的防治措施。 方法 回顾性分析2011年10月～2013年12月在临沂市河东区妇幼保健院妇产科收治的80例宫内窘迫胎儿的临床资料，依据胎儿娩出后是否出现窒息症状分为观察组(38例)和对照组(42例)，分析和对比产妇高危因素、胎儿高危因素和分娩高危因素。 结果 两组的妊娠高血压综合征、贫血症、胎膜早破发生率比较，差异无统计学意义(P>0.05)。两组的胎盘异常发生率比较差异有统计学意义(P<0.05)。两组的胎动消失、脐带异常、羊水污染发生率比较，差异有统计学意义(P<0.05)。两组胎心率异常发生率比较差异无统计学意义(P>0.05)。两组产程延长和剖宫产率比较差异有统计学意义(P<0.05)。 结论 胎儿高危因素、分娩高危因素和产妇高危因素是导致新生儿窒息症状的主要原因。
[关键词] 新生儿窒息；围生期；产妇；高危因素
[中图分类号] R722.12 [文献标识码] A [文章编号] 1674-4721(2015)02(a)-0052-03
Clinical analysis of the relationship between perinatal high risk factor and neonatal asphyxia
SHI Zeng-ye
Health Board of Hedong District in Linyi City of Shandong Province，Linyi 276001，China
[Abstract] Objective To investigate the relationship between perinatal high risk factor and neonatal asphyxia and explore obstetric high risk factor caused neonatal asphyxia and the necessary preventive measure. Methods The clinical data of 80 intrauterine fetal distress admitted to department of Obstetrics and Gynecology of Maternal and Child Care Service Centre of Hedong District in Linyi City from October 2011 to December 2013 were retrospectively analyzed and divided into observation group(38 cases)and control group(42 cases)according to whether fetal asphyxia symptoms after delivery.Maternal risk factor，fetal risk factor and birth risk factor were analyzed and compared. Results The incidence rate of pregnancy-induced hypertension，anemia，premature rupture of membranes in two groups was compared respectively，with no statistical difference(P>0.05).The incidence rate of placental abnormalities in two groups was compared，with statistical difference(P<0.05).The incidence rate of fetal movement disappeared，umbilical cord，amniotic in two groups was compared respectively，with statistical difference(P<0.05).The incidence rate of fetal heart rate abnormalities was compared，with no statistical difference(P>0.05).Prolonged labor and cesarean section rate of two groups was compared respectively，with statistical difference(P<0.05). Conclusion Fetal risk factor，birth risk factor and maternal risk factor are the cause of neonatal asphyxia.
[Key words] Neonatal asphyxia；Perinatal；Puerpera；High risk factor
新生儿窒息是指出生后1 min内尚不能建立规则、有效的自主呼吸，是新生儿死亡的主要原因之一，其发生率可达3%～10%。新生儿窒息约有2/3是胎儿宫内窘迫的延续[1]，因此，针对胎儿窘迫的临床特点，制订并实施有针对性的干预计划，对于减少该症状的发生率有重要作用，对改善妊娠结局有积极的意义。新生儿窒息与胎儿在宫内的环境及分娩过程密切相关[2]，新生儿窒息的发生还与产前、产时、产后的处理措施密切相关[3]。有研究报道，胎儿宫内窘迫、胎盘异常和阴道助产是导致新生儿窒息最主要的三个围生期危险因素[4]。本文对引起新生儿窒息的各种产科因素进行分析，旨在探讨与新生儿窒息有关的产科高危因素，以期提高产科医疗的质量，降低新生儿窒息的发生率。 (石增晔)
[关键词] 新生儿窒息；围生期；产妇；高危因素
[中图分类号] R722.12 [文献标识码] A [文章编号] 1674-4721(2015)02(a)-0052-03
Clinical analysis of the relationship between perinatal high risk factor and neonatal asphyxia
SHI Zeng-ye
Health Board of Hedong District in Linyi City of Shandong Province，Linyi 276001，China
[Abstract] Objective To investigate the relationship between perinatal high risk factor and neonatal asphyxia and explore obstetric high risk factor caused neonatal asphyxia and the necessary preventive measure. Methods The clinical data of 80 intrauterine fetal distress admitted to department of Obstetrics and Gynecology of Maternal and Child Care Service Centre of Hedong District in Linyi City from October 2011 to December 2013 were retrospectively analyzed and divided into observation group(38 cases)and control group(42 cases)according to whether fetal asphyxia symptoms after delivery.Maternal risk factor，fetal risk factor and birth risk factor were analyzed and compared. Results The incidence rate of pregnancy-induced hypertension，anemia，premature rupture of membranes in two groups was compared respectively，with no statistical difference(P>0.05).The incidence rate of placental abnormalities in two groups was compared，with statistical difference(P<0.05).The incidence rate of fetal movement disappeared，umbilical cord，amniotic in two groups was compared respectively，with statistical difference(P<0.05).The incidence rate of fetal heart rate abnormalities was compared，with no statistical difference(P>0.05).Prolonged labor and cesarean section rate of two groups was compared respectively，with statistical difference(P<0.05). Conclusion Fetal risk factor，birth risk factor and maternal risk factor are the cause of neonatal asphyxia.
[Key words] Neonatal asphyxia；Perinatal；Puerpera；High risk factor
新生儿窒息是指出生后1 min内尚不能建立规则、有效的自主呼吸，是新生儿死亡的主要原因之一，其发生率可达3%～10%。新生儿窒息约有2/3是胎儿宫内窘迫的延续[1]，因此，针对胎儿窘迫的临床特点，制订并实施有针对性的干预计划，对于减少该症状的发生率有重要作用，对改善妊娠结局有积极的意义。新生儿窒息与胎儿在宫内的环境及分娩过程密切相关[2]，新生儿窒息的发生还与产前、产时、产后的处理措施密切相关[3]。有研究报道，胎儿宫内窘迫、胎盘异常和阴道助产是导致新生儿窒息最主要的三个围生期危险因素[4]。本文对引起新生儿窒息的各种产科因素进行分析，旨在探讨与新生儿窒息有关的产科高危因素，以期提高产科医疗的质量，降低新生儿窒息的发生率。 (石增晔)