摘要
目的寻找预防新生儿窒息和改善预后的办法,以提高产科质量。方法回顾性分析2000年和2005年两个时期58例新生儿窒息发生的有关因素和结局。结果羊水污染、不合理使用缩宫素、早产、过期妊娠者新生儿窒息的发生率较高,P<0.01。后一时期新生儿窒息的发生率较低,P<0.01。各分娩方式与新生儿窒息无直接关系,后一时期经气管插管抢救,提高了5分钟Apgar评分。结论提高孕妇自我监护意识,加强围产期保健和宣教,在产程进展过程中进行严密的胎心监护(尤其是使用缩宫素调整宫缩者或有羊水污染者),对新生儿窒息做到早发现、早预防、早处理,充分做好新生儿复苏准备,是提高产科质量及降低新生儿窒息率的有效途径。
Objective Seeks prevents the newborn to suffocate with the improvement prognosis means, improves obstetrics quality. Methods Review analysis in 2000 and in 2005 two time 58 example newborns suffocated the related factor and the result which occurred. Results The amniotic fluid pollution, uses not reasonably shrinks the formation rate which the palace element, the premature delivery, the expired pregnancy newborn suffocate to be high, P 〈 0.01. The latter time newborn suffocates the formation rate is low,P 〈 0.01. Various childbirths way and the newborn suffocate relate not directly, the latter time after the trachea intubation rescue, enhanced 5 minute Apgar grading. Conclusion Raises the pregnant woman self - guardianship consciousness, strengthens the perinatal health care and the propaganda, carries on the strict embryo heart guardianship in the course of childbirth progress process （to use in particular shrinks palace element adjustment palace shrinking or has amniotic fluid pulluter） ,suffocates to the newborn achieves discovered early, prevents early, processes early, prepares for the newborn to recover fully, is improves obstetrics quality and reduces the newborn suffocates rate the effective way.
出处
《哈尔滨医药》
2010年第2期12-13,共2页
Harbin Medical Journal
关键词
新生儿
窒息
预防
气管插管
newborn
suffocating
prevention
trachea intubation
