CAJ | 학술논문

目的研究新生儿窒息与剖宫产相关的关系及降低新生儿窒息死亡率的有效措施.方法选择我院2004年1月-2008年12月住院出生新生儿共11822例,其中剖宫产分娩4103例,正常阴道分娩7719例.新生儿采用Apgar评分法诊断新生儿窒息.结果在我院住院分娩的11 822例新生儿中,剖宫产和阴道分娩新生儿窒息共284例,窒息率2.40%.其中剖宫产新生儿窒息107例,剖宫产窒息率2.61%;阴道分娩新生儿窒息177例,阴道分娩窒息率2.29%.两组比较,剖宫产组与阴道分娩组新生儿窒息率差异无显著性(P>0.05).结论剖宫产率的高低不影响新生儿窒息率高低.要降低新生儿窒息率,应着重加强围产期保健和高危孕产妇检查及提高围产期监护水平等方面的管理.
목적 연구신생인질식여부궁산상관적관계급강저신생인질식사망솔적유효조시.방법 선택아원2004년1월-2008년12월주원출생신생인공11822례,기중부궁산분면4103례,정상음도분면7719례.신생인채용Apgar평분법진단신생인질식.결과 재아원주원분면적11 822례신생인중,부궁산화음도분면신생인질식공284례,질식솔2.40%.기중부궁산신생인질식107례,부궁산질식솔2.61%;음도분면신생인질식177례,음도분면질식솔2.29%.량조비교,부궁산조여음도분면조신생인질식솔차이무현저성(P>0.05).결론 부궁산솔적고저불영향신생인질식솔고저.요강저신생인질식솔,응착중가강위산기보건화고위잉산부검사급제고위산기감호수평등방면적관리.
Objective To study the correlation between the neonatal asphyxia and cesarean section, and effective means to reduce the rate of the neonatal asphyxia, Methods 11822 newborns were obtained from our inpatients from January, 2004 to December, 2008. There were cesarean section 4103 cases, normal vagina childbirth 7719 cases. The diagnosis on neonatal asphyxia was determined with the Apgar score. Results In the 11822 newborns, there were neonatal asphyxia with cesarean section and normal vagina childbirth 284 cases, in the total rate of neonatal asphyxia was 2. 40%. The neonatal asphyxia of cesarean section was 107 cases, in the rate of asphyxia was 2.61 % The neonatal asphyxia of the normal vagina childbirth was 177 cases, in the rate of asphyxia was 2.29%. Compared with the neonatal asphyxia rate between the cesarean section and the normal vagina childbirth groups, The difference was non-statistically significant(P> 0.05). Conclusions The magnitude of neonatal asphyxia rate has nothing to do with the cesarean section rate. To reduce the neonatal asphyxia rate, we should advance the management lever of the perinatal health care.the high-risk pregnant women examination and the quality of perinatal guardianship.