医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
12期
2271-2273
,共3页
新生儿窒息%围生期%高危因素%相关性
新生兒窒息%圍生期%高危因素%相關性
신생인질식%위생기%고위인소%상관성
Neonatal asphyxia%Perinatal%Risk factors%Correlation
目的：分析围生期高危因素与新生儿窒息之间的关系。方法选取140例宫内窘迫胎儿，后续出现新生儿窒息症状患儿68例，无症状72例，依据娩出后是否出现窒息症状分成研究组（68例）和对照组（72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。结果研究组产妇高危因素：贫血症（16.2％）、妊娠期合并症（8.8％）、胎盘异常（16.2％）和胎膜早破（19.1％），胎儿高危因素：羊水污染（51.5％）、胎动消失（25.0％）、脐带异常（52.9％）和胎心率异常（23.5％）；分娩高危因素：剖宫产（48.5％）和产程延长（14.7％），对照组分别为16.7％、8.3％、5.6％、16.7％，30.6％、9.7％、30.6％、16.7％，22.2％和4.2％。两组在胎盘异常、羊水污染、胎动消失、脐带异常、剖宫产及产程延长方面比较差异有统计学意义（P ＜0.05），其余比较差异无统计学意义（ P＞0.05）。结论胎儿高危因素是导致围生期新生儿窒息症状的主要原因，其次为分娩高危因素，再次为产妇高危因素（仅胎盘异常）。
目的：分析圍生期高危因素與新生兒窒息之間的關繫。方法選取140例宮內窘迫胎兒，後續齣現新生兒窒息癥狀患兒68例，無癥狀72例，依據娩齣後是否齣現窒息癥狀分成研究組（68例）和對照組（72例），分析和對比產婦高危因素、胎兒高危因素和分娩高危因素。結果研究組產婦高危因素：貧血癥（16.2％）、妊娠期閤併癥（8.8％）、胎盤異常（16.2％）和胎膜早破（19.1％），胎兒高危因素：羊水汙染（51.5％）、胎動消失（25.0％）、臍帶異常（52.9％）和胎心率異常（23.5％）；分娩高危因素：剖宮產（48.5％）和產程延長（14.7％），對照組分彆為16.7％、8.3％、5.6％、16.7％，30.6％、9.7％、30.6％、16.7％，22.2％和4.2％。兩組在胎盤異常、羊水汙染、胎動消失、臍帶異常、剖宮產及產程延長方麵比較差異有統計學意義（P ＜0.05），其餘比較差異無統計學意義（ P＞0.05）。結論胎兒高危因素是導緻圍生期新生兒窒息癥狀的主要原因，其次為分娩高危因素，再次為產婦高危因素（僅胎盤異常）。
목적：분석위생기고위인소여신생인질식지간적관계。방법선취140례궁내군박태인，후속출현신생인질식증상환인68례，무증상72례，의거면출후시부출현질식증상분성연구조（68례）화대조조（72례），분석화대비산부고위인소、태인고위인소화분면고위인소。결과연구조산부고위인소：빈혈증（16.2％）、임신기합병증（8.8％）、태반이상（16.2％）화태막조파（19.1％），태인고위인소：양수오염（51.5％）、태동소실（25.0％）、제대이상（52.9％）화태심솔이상（23.5％）；분면고위인소：부궁산（48.5％）화산정연장（14.7％），대조조분별위16.7％、8.3％、5.6％、16.7％，30.6％、9.7％、30.6％、16.7％，22.2％화4.2％。량조재태반이상、양수오염、태동소실、제대이상、부궁산급산정연장방면비교차이유통계학의의（P ＜0.05），기여비교차이무통계학의의（ P＞0.05）。결론태인고위인소시도치위생기신생인질식증상적주요원인，기차위분면고위인소，재차위산부고위인소（부태반이상）。
Objective To analyze the correlation between perinatal risk factors and neonatal asphyxia . Methods A total of 140 cases of intrauterine fetal distress were selected as research objects,including 68 cases with following symptoms of neonatal asphyxia,and 72 cases of asymptomatic,according to whether had asphyxial symptoms the cases were divided into study group(68 cases) and control group(72 cases),mater-nal risk factors,fetal risk factors and delivery risk factors were analyzed between the two groups .Results The maternal risk factors of the study group included complication of anemia(16.2%) pregnancy(8.8%), abnormal placenta(16.2%),and premature rupture of membranes(19.1%);fetal risk factors included amniotic fluid pollution(51.5%),quickening disappearance(25.0%),abnormal umbilical cord(52.9%) and fetal heart rate abnormalities ( 23 .5%);delivery risk factors included cesarean section ( 48 .5%) and prolonged labor ( 14 .7%) , while cases with above factors of the control group respectively accounted for 16.7%,8.3%,5.6%,16.7%,30.6%,9.7%,30.6%,16.7%,22.2% and 4.2%,differences of abnor-mal placenta,amniotic fluid pollution,quickening disappearance,abnormal umbilical cord,cesarean section and prolonged labor between the two groups were statistically significant(P<0.05).Conclusion Fetal risk factors are the main causes for perinatal neonatal asphyxia,followed by the delivery risk factors,thirdly comes the maternal risk factors(only factor of abnormal placenta).
