剖宫产术后新生儿转入新生儿室住院治疗相关影响因素分析  

To analyse factors related to neonatal transferred to neonatal room for hospitalization after cesarean section

作　　者：张静[1] 谢成彬[1] 苏喆[1] 李芹 吴雨露[1] 李渠[1] 廖志[1] Zhang Jing;Xie Chengbin;Su Zhe;Li Qin;Wu Yulu;Li Qu;Liao Zhi

机构地区：[1]四川省妇幼保健院·四川省妇女儿童医院,四川成都614500

出　　处：《医药前沿》2019年第2期109-110,共2页Journal of Frontiers of Medicine

摘　　要：目的:研究剖宫产术后新生儿转入新生儿室住院治疗的危险因素,降低剖宫产术后新生儿住院率,减少新生儿医院感染发生机会.方法:收集2016年8月1日—2017年5月30日期间我院502例剖宫产产妇术前、术中、术后相关危险因素,对比分析剖宫产术后新生儿不同去向与母亲术前、术中、术后相关危险因素关系.结果:剖宫产502名新生儿中有58名新生儿因疾病入住新生儿室.术前孕周大小、母亲是否存在感染,术中羊水清洁度、羊水微生物培养结果,术后母亲是否发生感染与新生儿入住新生儿室存在统计学差异(P<0.05).入住新生儿室患儿中新生儿高胆红素血症占67.24%,新生儿肺炎和败血症占15.52%,早产儿占10.34%,低血糖占3.45%,ABO溶血占1.72%.结论:剖宫产术后新生儿住院受多因素影响,除自身免疫系统变化引起的疾病变化外,低孕周、母亲是否存在感染与新生儿住院密切相关.Objective To study the hospitalized risk factors which were neonates transferred to neonatal room after cesarean section, reduce the rate of hospitalization after cesarean section and the chance of hospital infection in the neonates.Methods From August 1,2016 to May 30,2017,502 cesarean lying-in women in preoperative,intraoperative and postoperative risk factors were collected.By comparing, to analyze the relationship between neonates located in different directions and cesarean lying-in women in preoperative, intraoperative and postoperative risk factors.Results Among 502 neonates after caesarean section, 58 neonates were transferred to neonatal room due to diseases. There were statistic difference(P < 0.05) between preoperative gestational age, preoperative state of maternal infection, intraoperative amniotic fluid cleanliness, results of microorganism culture in amniotic fluid,postoperative state of maternal infection, and neonates transferred to neonatal room.67.24 percent of Neonates in neonatal room were Neonatal hyperbilirubinemia,15.52 percent of Neonates were Neonatal pneumonia and sepsis,10.34 percent of Neonates were premature infant,3-45 percent of Neonates were hypoglycemia,1.72 percent of Neonates were ABO hemolytic disease.Conclusion Neonatal hospitalization after cesarean section was affected by many factors except for the disease changes caused by the immune system.Low gestational age, state of maternal infection were close to Neonatal hospitalization.

关 键 词：剖宫产 新生儿 新生儿室 感染 

分 类 号：R714[医药卫生—妇产科学]