湖北省恩施土家族苗族自治州新生儿窒息流行病学及围生期危险因素分析

Q4 Medicine

中华围产医学杂志 Pub Date : 2019-08-16 DOI:10.3760/CMA.J.ISSN.1007-9408.2019.08.008

Su-Ying Wu, F. Peng, Ting Ding, Hong-Yan Tan, Qian-qian Wu, Hongyan Liu, Xin-qiao Yu, Cong-Rong Tan, Zhi-Ping Pan, Zuo-Fen Yuan, Zhen-Ju Huang, Shi-wen Xia

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引用次数: 0

摘要

目的了解湖北省恩施土家族苗族自治州新生儿窒息的发生率及危险因素。方法选取2016年1 - 12月在湖北省恩施土家族苗族自治州16家不同医院出生的新生儿，包括诊断为新生儿窒息的新生儿。这16家医院包括4家三级甲等医院(3家综合医院、1家中医院)和12家二级甲等医院(8家综合医院、1家妇幼保健院、3家中医院)。采用问卷法对患儿的基本情况、围生期危险因素及预后进行回顾性调查。采用卡方检验进行统计分析。结果22 294例新生儿中，出院时诊断新生儿窒息733例(3.29%)，其中轻症627例(85.54%)，重症106例(14.46%)。新生儿窒息死亡27例(3.68%)。新生儿窒息的危险因素包括:多胎妊娠、辅助生殖技术妊娠、早产儿、低出生体重儿、胎儿位错、先天性畸形、男婴、转产、土家族母亲、文化程度低(小学及以下)、生活在农村、产前检查次数≤3次、早期先兆流产史、妊娠贫血、妊娠高血压疾病、绒毛膜羊膜炎、异常妊娠史及脐带、羊水或胎盘异常。结论恩施地区新生儿窒息发生率明显高于全国平均水平。本地区新生儿窒息的主要危险因素与产妇背景、孕期、分娩及新生儿出生时的生活条件有关。关键词:新生儿窒息;发病率;风险因素;少数民族

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Epidemiology and perinatal risk factors of neonatal asphyxia in Hubei Enshi Tujia and Miao Autonomous Prefecture

Objective To investigate the incidence and risk factors of neonatal asphyxia in Hubei Enshi Tujia and Miao Autonomous Prefecture. Methods Live born infants, including those diagnosed with neonatal asphyxia, were recruited from 16 different hospitals in Hubei Enshi Tujia and Miao Autonomous Prefecture from January to December of 2016. The 16 hospitals included four grade A tertiary hospitals (three general hospitals and one traditional Chinese medicine hospital) and 12 grade A secondary hospitals (eight general hospitals, one maternal and child health hospital and three traditional Chinese medicine hospitals). A retrospective investigation was conducted using questionnaire to analyze the basic information, perinatal risk factors and prognosis of those infants. Chi-square test was used for statistical analysis. Results Among 22 294 recruited live born infants, 733 (3.29%) were diagnosed with neonatal asphyxia on discharge, including 627 (85.54%) mild cases and 106 (14.46%) severe cases. And neonatal asphyxia resulted in deaths of 27 cases (3.68%). The risk factors for neonatal asphyxia included multiple pregnancy, pregnancy conceived with assisted reproductive technology, premature infant, low birth weight infant, fetal malposition, congenital malformation, male infant, born during transfer, mother of Tujia nationality, low educational level (primary school or lower), living in rural area, the number of antenatal visits ≤3, history of early threatened abortion, anemia in pregnancy, hypertensive disorders of pregnancy, chorioamnionitis, abnormal pregnancy history and abnormality of umbilical cord, amniotic fluid or placenta. Conclusions The incidence of neonatal asphyxia in Enshi area is obviously higher than the national average. The main risk factors for neonatal asphyxia in this area are related to maternal background and the living condition of the mother during pregnancy, delivery as well as the newborn at birth. Key words: Asphyxia neonatorum; Incidence; Risk factors; Minority Groups

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来源期刊

中华围产医学杂志 Medicine-Obstetrics and Gynecology

CiteScore

0.70

自引率

0.00%

发文量

4446

期刊介绍： Chinese Journal of Perinatal Medicine was founded in May 1998. It is one of the journals of the Chinese Medical Association, which is supervised by the China Association for Science and Technology, sponsored by the Chinese Medical Association, and hosted by Peking University First Hospital. Perinatal medicine is a new discipline jointly studied by obstetrics and neonatology. The purpose of this journal is to "prenatal and postnatal care, improve the quality of the newborn population, and ensure the safety and health of mothers and infants". It reflects the new theories, new technologies, and new progress in perinatal medicine in related disciplines such as basic, clinical and preventive medicine, genetics, and sociology. It aims to provide a window and platform for academic exchanges, information transmission, and understanding of the development trends of domestic and foreign perinatal medicine for the majority of perinatal medicine workers in my country.