分娩方式对儿童身心健康的远期影响  

The long-term effect of delivery modes on physical and mental health of children

作　　者：孔令斌[1] 杨志寅[1] 卜志强[1] 刘兆民[1] 

机构地区：[1]济宁医学院山东省行为医学教育研究所,山东济宁272013

出　　处：《中国妇幼保健》2009年第15期2066-2068,共3页Maternal and Child Health Care of China

基　　金：山东省教育厅资助项目(项目编号:J06L05)

摘　　要：目的:探讨分娩方式对儿童身体状况、行为的远期影响,为规范产科医生的职业行为,促进儿童身心健康提供科学依据。方法:查阅2000年1～12月间济宁、日照两市部分医院病案室的病历资料,共收集220例社会剖宫产儿,按照儿童出生时间、家庭状况、出生地、出生时父母年龄进行1∶1配比,同期收集220例顺产儿,采用回顾性队列研究方法,于2007年8～10月随访调查两组儿童的心身健康状况,比较两组儿童的行为、感觉统合失调征(SID)及儿童的身体状况。结果:共收回有效问卷399份,其中顺产221例,社会剖宫产178例。剖宫产组SID发病率(43.0%)、行为异常(26.4%)发病率明显高于顺产组儿童(26.0%和17.6%,P<0.05);而剖宫产儿童的身高、体重均小于顺产组(P<0.05)。结论:剖宫产严重影响儿童的身心健康,因此医生在诊疗过程中,除非有明确的剖宫产适应证,否则不要对产妇采取剖宫产。Objective： To explore the long - term effect of delivery modes on physical and mental health of children, provide a scientific basis for promoting physical and mental health of children. Methods ： 220 children of the social factor causing cesarean section from January to December 2000 were selected, according to birth time of children, family condition, birthplace and parents＇ ages, 220 children of spontaneous delivery were synchronization collected by 1：1 matching paired. Retrospective cohort study was used to investigate physical and mental health of children in two groups. The incidences of aberrant behavior and child sensory integrative dysfunction （SID） and child body status between the social factor causing caesarean group and spontaneous delivery group were compared. Results： 399 children were included in the study. The incidences of SID （43. 0% ）, aberrant behavior （26. 4% ） in cesarean section group were higher than those in spontaneous delivery group （26.0% , 17.6% ） （P 〈 0.05 ） ; the height and body weight in cesarean section group were lower than those in spontaneous delivery group （ P 〈 0.05 ） . Conclusion： Cesarean section affects physical and mental health of children, cesarean section should be conducted on the basis of definite indication of cesarean section.

关 键 词：分娩方式 儿童 身心健康 

分 类 号：R179[医药卫生—妇幼卫生保健]