剖宫产率与围产儿病死率相关性探讨  

The relationship of the rate of cesarean section and the rate of neonatal morbidity and mortality

作　　者：刘晓晖[1] 杨莉[1] 田向文[1] 

机构地区：[1]胜利石油管理局中心医院妇产科,山东东营257034

出　　处：《中国优生与遗传杂志》2005年第8期64-66,共3页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨剖宫产率与新生儿病死率的关系。方法对15年剖宫产率与新生儿病死率、窒息率进行回顾性分析;再按剖宫产率水平分4个组:A(<15%)、B(≥15%)、C(≥20%)、D(≥25%),进行组间χ2检验。结果15年剖宫产率与新生儿窒息率呈负相关(P<0.01);死产率与剖宫产率比较两者呈负相关(P<0.01);早期新生儿病死率与剖宫产率呈负相关(P<0.01);死胎率与剖宫产率比较两者无明显相关性(P>0.05);结论提高剖宫产率,一定程度上降低了母婴的病死率与病率,但盲目升高剖宫产率不但不能有效的进一步降低围产儿病死率反而对母体带来许多危害。建议适时的行剖宫产手术。Objective ： To analyze the relationship of the rate of cesarean section and the rate of neonatal morbidity and mortality. Methods ： A retrospective cohort study of the relationship of the rate of cesarean section and that of morbidity and mortality of infants in the past 15years was conducted.According to the rate of cesarean section, divide into 4 groups： A（ 〈 15% ） ,B（ ≥ 15% ） ,C（ ≥20% ） ,D（ ≥25% ）, checking up with the X^2 . Restdts：The rate of cesarean section has the negative correlation with the rate of the neonatal asphyxia, the rate of stillbirth, the rate of the early period infantile disease and death （ P 〈 0,01 ）, but hash＇ t the positive or negative correlation with the rate of the fetal death （ P 〉 0.05）, Conclusion：To increase the rate of cesarean section can decease the rate of disease and death of the pregnant women and infants in some degree, but the effect of increasing the rate blindly not only can＇t decrease the rate of disease and death of the pregnant women and infants, but also can bring the relative danger to them at the same time. Suggest perform the cesarean section in the Drover time.

关 键 词：剖宫产率 新生儿死亡率 窒息率 相关性 

分 类 号：R719.8[医药卫生—妇产科学]