圍生期高危因素與新生兒窒息關(guān)系的臨床分析(1)
[摘要] 目的 分析圍生期高危因素與新生兒窒息的關(guān)系，探討引起新生兒窒息的產(chǎn)科高危因素和必要的防治措施。 方法 回顧性分析2011年10月～2013年12月在臨沂市河?xùn)|區(qū)婦幼保健院婦產(chǎn)科收治的80例宮內(nèi)窘迫胎兒的臨床資料，依據(jù)胎兒娩出后是否出現(xiàn)窒息癥狀分為觀察組(38例)和對(duì)照組(42例)，分析和對(duì)比產(chǎn)婦高危因素、胎兒高危因素和分娩高危因素。 結(jié)果 兩組的妊娠高血壓綜合征、貧血癥、胎膜早破發(fā)生率比較，差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)。兩組的胎盤(pán)異常發(fā)生率比較差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。兩組的胎動(dòng)消失、臍帶異常、羊水污染發(fā)生率比較，差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。兩組胎心率異常發(fā)生率比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)。兩組產(chǎn)程延長(zhǎng)和剖宮產(chǎn)率比較差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。 結(jié)論 胎兒高危因素、分娩高危因素和產(chǎn)婦高危因素是導(dǎo)致新生兒窒息癥狀的主要原因。
[關(guān)鍵詞] 新生兒窒息；圍生期；產(chǎn)婦；高危因素
[中圖分類(lèi)號(hào)] R722.12 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 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
新生兒窒息是指出生后1 min內(nèi)尚不能建立規(guī)則、有效的自主呼吸，是新生兒死亡的主要原因之一，其發(fā)生率可達(dá)3%～10%。新生兒窒息約有2/3是胎兒宮內(nèi)窘迫的延續(xù)[1]，因此，針對(duì)胎兒窘迫的臨床特點(diǎn)，制訂并實(shí)施有針對(duì)性的干預(yù)計(jì)劃，對(duì)于減少該癥狀的發(fā)生率有重要作用，對(duì)改善妊娠結(jié)局有積極的意義。新生兒窒息與胎兒在宮內(nèi)的環(huán)境及分娩過(guò)程密切相關(guān)[2]，新生兒窒息的發(fā)生還與產(chǎn)前、產(chǎn)時(shí)、產(chǎn)后的處理措施密切相關(guān)[3]。有研究報(bào)道，胎兒宮內(nèi)窘迫、胎盤(pán)異常和陰道助產(chǎn)是導(dǎo)致新生兒窒息最主要的三個(gè)圍生期危險(xiǎn)因素[4]。本文對(duì)引起新生兒窒息的各種產(chǎn)科因素進(jìn)行分析，旨在探討與新生兒窒息有關(guān)的產(chǎn)科高危因素，以期提高產(chǎn)科醫(yī)療的質(zhì)量，降低新生兒窒息的發(fā)生率。 (石增曄)
[關(guān)鍵詞] 新生兒窒息；圍生期；產(chǎn)婦；高危因素
[中圖分類(lèi)號(hào)] R722.12 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 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
新生兒窒息是指出生后1 min內(nèi)尚不能建立規(guī)則、有效的自主呼吸，是新生兒死亡的主要原因之一，其發(fā)生率可達(dá)3%～10%。新生兒窒息約有2/3是胎兒宮內(nèi)窘迫的延續(xù)[1]，因此，針對(duì)胎兒窘迫的臨床特點(diǎn)，制訂并實(shí)施有針對(duì)性的干預(yù)計(jì)劃，對(duì)于減少該癥狀的發(fā)生率有重要作用，對(duì)改善妊娠結(jié)局有積極的意義。新生兒窒息與胎兒在宮內(nèi)的環(huán)境及分娩過(guò)程密切相關(guān)[2]，新生兒窒息的發(fā)生還與產(chǎn)前、產(chǎn)時(shí)、產(chǎn)后的處理措施密切相關(guān)[3]。有研究報(bào)道，胎兒宮內(nèi)窘迫、胎盤(pán)異常和陰道助產(chǎn)是導(dǎo)致新生兒窒息最主要的三個(gè)圍生期危險(xiǎn)因素[4]。本文對(duì)引起新生兒窒息的各種產(chǎn)科因素進(jìn)行分析，旨在探討與新生兒窒息有關(guān)的產(chǎn)科高危因素，以期提高產(chǎn)科醫(yī)療的質(zhì)量，降低新生兒窒息的發(fā)生率。 (石增曄)