国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2010年
12期
1435-1438
,共4页
新生儿窒息%产科原因
新生兒窒息%產科原因
신생인질식%산과원인
Asphyxia neonatorum%Obstetric etiology
目的 从产科角度寻找新生儿窒息的原因,提出有效的预防措施,降低新生儿窒息发生率和死亡率,提高产科质量.方法 对2006年1月-2008年1月在本院出生并发生新生儿窒息130例的相关因素进行回顾性分析.结果 脐带因素、胎盘功能不全及羊水过少为主要原因分别占24.6%、23.1%、21.5%,重度窒息率以产前出血比率最高,占41.7%,其次为羊水过少、胎盘功能不全、早产.结论 做好产前检查,及时治疗妊娠并发症,加强产前、产时胎心监护及B超检查,及时防治胎儿宫内窘迫.
目的 從產科角度尋找新生兒窒息的原因,提齣有效的預防措施,降低新生兒窒息髮生率和死亡率,提高產科質量.方法 對2006年1月-2008年1月在本院齣生併髮生新生兒窒息130例的相關因素進行迴顧性分析.結果 臍帶因素、胎盤功能不全及羊水過少為主要原因分彆佔24.6%、23.1%、21.5%,重度窒息率以產前齣血比率最高,佔41.7%,其次為羊水過少、胎盤功能不全、早產.結論 做好產前檢查,及時治療妊娠併髮癥,加彊產前、產時胎心鑑護及B超檢查,及時防治胎兒宮內窘迫.
목적 종산과각도심조신생인질식적원인,제출유효적예방조시,강저신생인질식발생솔화사망솔,제고산과질량.방법 대2006년1월-2008년1월재본원출생병발생신생인질식130례적상관인소진행회고성분석.결과 제대인소、태반공능불전급양수과소위주요원인분별점24.6%、23.1%、21.5%,중도질식솔이산전출혈비솔최고,점41.7%,기차위양수과소、태반공능불전、조산.결론 주호산전검사,급시치료임신병발증,가강산전、산시태심감호급B초검사,급시방치태인궁내군박.
Objective To find the etiology of asphyxia neonatorum, and to put forward effective prevention measures for reducing the incidence and mortality rate of asphyxia neonatorum. Methods The related factors of 130 cases of asphyxia neonatorum during January 2006 to January 2008 were retrospectively analyzed. Results Of the etiologies of asphyxia neonatorum, 24.6% were due to umbilical cord, 23.1 % were placental function defect, 21.5% were hypamnion. Antepartum hemorrhage was the major cause of severe asphyxia (41.7%), followed by hypamnion, placental function defect, then premature delivery. Conclusions Careful prenatal examinations should be performed to treat pregnancy complications promptly. Antepartum and intrapartum electronic fetal monitoring and type-B ultrasonic examination should be done to prevent and treat intrauterine fetal distress.
