足月选择性剖宫产新生儿呼吸系统疾病发生情况分析  

Analysis on incidence of neonatal respiratory diseases in term infants born by elective cesarean delivery

作　　者：朱曦怡[1] 谢庆玲[1] 李柳青[1] 

机构地区：[1]广西壮族自治区人民医院小儿科,南宁市530021

出　　处：《广西医学》2016年第1期57-59,共3页Guangxi Medical Journal

摘　　要：目的分析选择性剖宫产(ECD)足月儿的新生儿呼吸系统疾病的发生情况。方法回顾性分析1 139例ECD出生的足月新生儿的临床资料,分析其呼吸窘迫综合征(RDS)、新生儿暂时性呼吸增快(TTN)、新生儿持续性肺动脉高压(PPHN)及自发性气胸的发生率,比较胎龄37周、38周、39周及40周新生儿的呼吸系统疾病发生情况。结果 1 139例ECD出生的足月儿中,出现新生儿呼吸系统疾病107例(9.39%);随着胎龄的增加,ECD出生新生儿的呼吸系统疾病发生率呈降低趋势(P<0.05)。新生儿TTN的发生率最高,为6.50%,其次为RDS(2.90%)、自发性气胸(1.23%)、PPHN(0.88%)。随着胎龄的增加,ECD足月儿的RDS、PPHN及自发性气胸发生率均呈降低趋势(P<0.05)。结论 ECD足月儿的新生儿呼吸系统疾病发生率较高,最好在胎龄39周后进行ECD。Objective To analyze the incidence of neonatal respiratory diseases in term infants born by elective cesarean delivery （ECD）. Methods The clinical data of 1139 term infants born by ECD were retrospectively analyzed. The incidences of neonatal rcspiratory distress syndrome（ RDS）, transient tachypnea of newborn （ TTN ）, persistent puhnonary hypertension of newborn （ PPHN ） and spontaneous pneumothorax were analyzed. And the incidences of respiratory diseases were compared among the neonates with gestational ages of 37 weeks, 38 weeks,39 weeks and 40 weeks. Results Of 1139 term infants born by ECD, neonatal respiratory diseases occurred in 107 cases （9.39%） ,and the incidence of neonatal respiratory diseases decreased with the increase of gestational age （ P 〈 0.05 ）. The incidence of neonatal TTN was the highest （6.50%） ,and the incidences decreased in the order of RDS（2.90% ） ,spontaneous pneumothorax（ 1.23% ） and PPHN（0. 88% ）. Tile incidences of RDS,PPHN and spontaneous pneumothorax decreased with the increase of gestational age（P 〈 0. 05）. Conclusion The incidence of neonatal respiratory diseases is quite high in the term infants born by ECD. And ECD should be performed after the eestational age of 39 weeks.

关 键 词：选择性剖宫产 新生儿呼吸系统疾病 胎龄 足月儿 呼吸窘迫综合征 新生儿暂时性呼吸增快 新生儿持续性肺动脉高压 自发性气胸 

分 类 号：R719.8[医药卫生—妇产科学]