48例择期剖宫分娩足月儿呼吸窘迫综合征的回顾性分析  

Retrospective analysis of 48 patients undergoing elective cesarean delivery of full-term infants with respiratory distress syndrome

作　　者：吴红[1] 薛璇[2] 

机构地区：[1]江苏省省级机关医院,江苏南京210029 [2]南京市妇幼保健院,江苏南京210000

出　　处：《临床肺科杂志》2016年第12期2258-2260,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨择期剖宫分娩足月儿呼吸窘迫综合征(RDS)的临床特征和发病机理。方法选择2010年3月至2014年8月来我院就诊的择期剖宫分娩足月RDS患儿48例进行回顾性分析,比较与RDS相关的因素,如剖宫产时机、胎龄、出生时窒息和宫内感染。结果胎龄>36-<39周择期剖宫分娩患儿32例(66.67%)发病率明显高于胎龄≥39周-<42周择期剖宫分娩患儿16例(33.33%)。窒息是影响剖宫分娩足月儿呼吸窘迫综合征的主要影响因素,OR值为7.389,95%CI:1.043-52.355,P=0.045。窒息组患儿通常出生后即起病,早于非窒息组患儿。窒息组患儿使用呼吸机时间长于非窒息组,且治愈率低。结论择期剖宫分娩足月儿RDS患儿通常出生时发生窒息,出生即起病。Objective To explore the clinical features and pathogenesis of elective caesarean section in full-term infants with respiratory distress syndrome （RDS）. Methods 48 RDS patients of elective caesarean section from March 2010 to August 2014 were selected to give retrospective analysis. The factors associated with RDS were ana- lyzed, such as the time of cesarean section, gestational age, birth asphyxia and intrauterine infection. Results The incidence of RDS was obviously higher in 32 cases （66.67%） of gestational age 〉 36 - 〈 39 weeks than in 16 cases （33. 33% ） gestational age over 39 weeks - 〈42 weeks. Asphyxia was the main factor influencing the cesarean de- livery of full-term infants with respiratory distress syndrome. The score of OR was 7. 389 （95% CI：I. 043 -52. 355, P = 0. 045）. Compared to the infants who born without asphyxia, the infants born with asphyxia usually came out to RDS right after born, required longer time of mechanical ventilation and had significant lower effective ratio. Conclu- sion Asphyxia is the first manifestations of term and near term infants with RDS. These infants often can be onset after birth.

关 键 词：呼吸窘迫综合征 剖宫分娩 窒息 足月儿 

分 类 号：R722.1[医药卫生—儿科]