摘要
Abstract
Objective To explore the influencing factors and complications of asphyxia neonates by conducting clinical analysis of 126 cases of asphyxia , so as to provide reliable evidence for prevention and treatment of neonatal asphyxia .Methods Retrospective analysis was conducted on clinical data of 126 cases of neonatal asphyxia hospitalized in Ankang Maternal and Child Health Institute from January 2012 to December 2014.Results There was no significant difference in the incidence of neonatal asphyxia in department of obstetrics in the institute among three years (χ2 value was 0.21, 0.23 and 0.90, respectively, all P>0.05).Fetal intrauterine distress, low birth weight, amniotic fluid pollution , premature delivery and premature rupture of membranes were the main factors of the occurrence of neonatal asphyxia, and they accounted for 31.75%, 29.36%, 22.22%, 22.22% and 21.43%, respectively.Neonatal asphyxia complications included aspiration pneumonia , hypoxic-ischemic encephalopathy ( HIE ) , jaundice , intracranial hemorrhage , hyponatremia , hypocalcemia , myocardial damage and gastrointestinal bleeding , accounting for 86.51%, 77.77%, 68.25%, 53.97%, 45.24%, 31.75%, 30.95%and 11.11%, respectively.Conclusion Prevention is the key .Great efforts should be attached to strengthen prenatal monitoring and understand the possibility of occurrence of fetal distress timely .Effective measures need to be taken in time for abnormality , and cooperation between department of obstetrics and pediatrics should be strengthened .New recovery technology of neonatal asphyxia is critical.The key in treatment of neonatal asphyxia is to clean the upper respiratory tract .After consciousness stability of internal environment should be maintained early to reduce brain and myocardium damage .关键词
新生儿窒息/胎儿宫内窘迫/新生儿窒息并发症/预防Key words
neonatal asphyxia/intrauterine fetal distress/neonatal asphyxia complications/prevention分类
医药卫生