摘要
目的 探讨臀位新生儿窒息、围产儿死亡的相关因素。方法 回顾分析 4 77例单胎初产臀位新生儿Apgar评分与孕周、体重、先露类型、分娩方式的关系。结果 臀位早产儿、过期儿、体重 <2kg及阴道分娩的臀位新生儿容易发生窒息 (P <0 0 0 5 ,P <0 0 1)。体重≥ 2 0 0 0 g 4组间Apgar评分比较无显著性差异 (P >0 0 5 )。 结论 臀位选择在 3 7～ 4 1+6 孕周 ,估计新生儿体重≥ 2 0 0 0 g时分娩较合适 ;及早发现足先露、避免脐带脱垂、适当放宽剖宫产指征 ,可降低臀位新生儿窒息率、围产儿死亡率。
Objective To study factors related to breech presentation neonatal asphyxia and perinatal mortality. Methods Retrospective analysis was made about the relationship between the neonatal Apgar score of 477 cases of single pregnancy,primiparity and breech presentation,and the gestational week,birth weight,presentation sort and delivery mode. Results The premature breech presentation,post-term pregnancy,birth weight less than 2 000 g and vaginal delivery tended to cause neonatal asphyxia ( P<0 005, P<0 01 ).There was no significant difference for Apgar score in birth weight more than or equal to 2 000 g in 4 groups. Conclusion Delivery is more appropriate for breech presentation when gestational weeks are 37～41 +6 and the estimated birth weight is more than or equal to 2 000 g.Early discovery of foot presentation by ultrasonography,avoidance of prolapse of cord and proper extension of scope of cesarean section can reduce neonatal asphyxia incidence and perinatal mortality of breech presentation.
出处
《山西医科大学学报》
CAS
2000年第1期61-63,共3页
Journal of Shanxi Medical University
关键词
窒息
新生儿
臀先露
围产儿
预后
相关因素
neonatal asphyxia neonatorum
infant mortality
breech presentation
Apgar score
