中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
5期
842-844
,共3页
新生儿%窒息%危险因素%Logistic回归分析
新生兒%窒息%危險因素%Logistic迴歸分析
신생인%질식%위험인소%Logistic회귀분석
neonates%asphyxia%risk factors%Logistic regression analysis
目的：了解新生儿窒息的发生率及其危险因素。方法对2012年1至12月在义乌市妇幼保健院产科分娩的6592例活产儿病历资料进行回顾性分析。结果6592例新生儿中，发生窒息187例（窒息组），发生率为2．84％，未发生窒息6405例（无窒息组）。母亲小学以下文化程度、胎龄＜37周、妊娠期糖尿病、胎盘早剥、羊水污染、胎儿宫内窘迫、新生儿出生体重＜2500g均为新生儿窒息的独立危险因素（OR值分别为2．567、3．132、7．359、6．418、1．838、5．814、5．146，均P＜0．05）。结论母亲小学以下文化程度、早产、妊娠期糖尿病、胎盘早剥、羊水污染、胎儿宫内窘迫、新生儿出生体重＜2500 g均是新生儿窒息的主要危险因素，临床应重视并针对危险因素加以预防。
目的：瞭解新生兒窒息的髮生率及其危險因素。方法對2012年1至12月在義烏市婦幼保健院產科分娩的6592例活產兒病歷資料進行迴顧性分析。結果6592例新生兒中，髮生窒息187例（窒息組），髮生率為2．84％，未髮生窒息6405例（無窒息組）。母親小學以下文化程度、胎齡＜37週、妊娠期糖尿病、胎盤早剝、羊水汙染、胎兒宮內窘迫、新生兒齣生體重＜2500g均為新生兒窒息的獨立危險因素（OR值分彆為2．567、3．132、7．359、6．418、1．838、5．814、5．146，均P＜0．05）。結論母親小學以下文化程度、早產、妊娠期糖尿病、胎盤早剝、羊水汙染、胎兒宮內窘迫、新生兒齣生體重＜2500 g均是新生兒窒息的主要危險因素，臨床應重視併針對危險因素加以預防。
목적：료해신생인질식적발생솔급기위험인소。방법대2012년1지12월재의오시부유보건원산과분면적6592례활산인병력자료진행회고성분석。결과6592례신생인중，발생질식187례（질식조），발생솔위2．84％，미발생질식6405례（무질식조）。모친소학이하문화정도、태령＜37주、임신기당뇨병、태반조박、양수오염、태인궁내군박、신생인출생체중＜2500g균위신생인질식적독립위험인소（OR치분별위2．567、3．132、7．359、6．418、1．838、5．814、5．146，균P＜0．05）。결론모친소학이하문화정도、조산、임신기당뇨병、태반조박、양수오염、태인궁내군박、신생인출생체중＜2500 g균시신생인질식적주요위험인소，림상응중시병침대위험인소가이예방。
Objective To investigate the incidence rate and risk factors of neonatal asphyxia.Methods Retrospective study was conducted on the medical records of 6 592 cases of live births delivered in the pediatrics department of Maternal and Child Health Hospital in Yiwu during the period of January to December in 2012.Results Among 6 592 cases of neonates, 187 cases had asphyxia, and the incidence rate was 2.84%.Mother with primary school education or below, gestational age<37 weeks, gestational diabetes, placental abruption, meconium, fetal distress and birth weight<2 500g were separate risk factors (OR value was 2.567, 3.132, 7.359, 6.418, 1.838, 5.814 and 5.146, respectively, all P<0.05).Conclusion Mother with primary school education or below, premature birth, gestational diabetes, placental abruption, meconium, fetal distress and birth weight<2 500g are major risk factors of neonatal asphyxia.Special attention should be paid to them and prevention on risk factors.
