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目的:分析影响新生儿窒息的相关产科因素及对策。方法:以贵州黔西南州人民医院2004年1月～2009年6月住院分娩的9300例新生儿为研究对象,采用回顾性队列研究方法进行调查研究。结果:胎盘早剥、胎位异常、前置胎盘、产程异常、羊水过多及脐带异常等产科因素可显著增加新生儿窒息的发病率(P<0.05);剖宫产、羊水少、漏斗骨盆和头盆不称可显著降低新生儿窒息的危险性(P<0.05)。结论:产科因素可在产前明确诊断,应及时处理,采取恰当对策,以避免新生儿窒息的发生。
OBJECTIVE: To analyze the related obstetric factors and countermeasures affecting neonatal asphyxia. Methods: Nine hundred and thirty-three newborns hospitalized in People’s Hospital of Guizhou Qianxinan People’s Hospital from January 2004 to June 2009 were studied retrospectively. Results: Obstetric factors such as placental abruption, abnormal fetal position, placenta previa, idiopathic labor, polyhydramnios and umbilical cord abnormality could significantly increase the incidence of neonatal asphyxia (P <0.05); cesarean section, oligohydramnios, Inconvenience of the basin can significantly reduce the risk of neonatal asphyxia (P <0.05). Conclusion: Obstetric factors can be diagnosed in prenatal period, and should be dealt with in time and appropriate measures should be taken to avoid neonatal asphyxia.