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目的探讨新生儿窒息发生的危险因素以及针对此类因素的临床预控措施。方法收治的100例新生儿发生窒息病例作为观察组,另选取100例正常新生儿作为对照组,采用问卷调查方式,对孕妇的孕期、孕次、产次、阴捡次数、自然流产史、胎位不正史、妊高症、服药情况及疾病史等进行调查。结果自然流产史、新生儿体重、孕周、羊水污染和分娩方式等因素对于评分的影响具有统计学意义(P<0.05),其他如脐带缠绕、孕次、孕晚期头晕史、产次、妊高症、胎位不正史及其他疾病史等对于评分的影响不具有统计学意义(P>0.05)。结论应该对自然流产史、孕周和羊水污染情况进行密切观察,同时慎重选择分娩方式并估算新生儿体重,减少新生儿窒息发生率,降低窒息后遗症的损害。
Objective To explore the risk factors of neonatal asphyxia and clinical pre-control measures for such factors. Methods A total of 100 newborns with asphyxia were selected as the observation group and another 100 normal newborns were selected as the control group. The questionnaire method was used to investigate the pregnant women ’s gestational age, pregnancy time, delivery times, times of picking up the vagina, spontaneous abortion history, Irregular history, pregnancy-induced hypertension, medication and disease history investigation. Results The history of spontaneous abortion, weight of newborns, gestational age, amniotic fluid contamination and mode of delivery had statistical significance (P <0.05). Other factors such as umbilical cord entanglement, gestational age, history of dizziness, parity, The effect of high disease, malpractice history and other diseases on the score was not statistically significant (P> 0.05). Conclusions A close observation should be made on the history of spontaneous abortion, gestational age and amniotic fluid contamination. At the same time, we should carefully select the mode of delivery and estimate the newborn’s weight, reduce the incidence of neonatal asphyxia and reduce the damage of asphyxia sequelae.