择期剖宫产与阴式分娩对新生儿呼吸困难影响的临床对比研究  

Clinical comparative study on the effect of elective cesarean section and vaginal delivery on neonatal dyspnea

作　　者：徐燕 Xu Yan(Xiaogan maternal and child health hospital,Xiaogan,Hubei,432100,China)

机构地区：[1]湖北省孝感市妇幼保健院,湖北孝感432100

出　　处：《当代医学》2019年第15期104-106,共3页Contemporary Medicine

摘　　要：目的探索择期剖宫产与阴式分娩对新生儿呼吸困难的影响差异,为临床防止该疾病提供临床依据。方法收集2013年1月至2016年12月本院收治的100例产妇分娩的新生儿,分析对比阴氏分娩和择期剖宫产之间呼吸困难发生率。结果对照组呼吸困难发生例数为12例,发生率为24.0%,实验组呼吸困难发生例数为7例,发生率为14.0%,统计学分析,对照组呼吸困难发生率明显高于实验组,差异有统计学意义(P<0.05)。对照组的1 min Apgar评分和5 min Apgar评分与实验组相比较,差异无统计学意义;对照组的PO_2明显低于实验组,差异有统计学意义(P<0.05)。对照组PCO_2和碱剩余(BE)明显高于实验组,差异有统计学意义(P<0.05)。对照组HCO_3^-与实验组相比较,差异无统计学意义。结论择期剖宫产新生儿由于未经产道挤压和宫缩及阴氏分娩的生理性改变,导致其更容易得呼吸系统疾病,尤其是呼吸困难。因此,应当在妊娠期间给予科学合理的产前教育,在无明显剖宫产适应证时,应当谨慎选择。Objective To explore the difference between selective cesarean section and vaginal delivery on dyspnea in neonates,and to provide clinical basis for clinical prevention of this disease.Methods 100 neonates delivered by parturient women from January 2013 to December 2016 were collected and the incidence of dyspnea between vaginal delivery and elective cesarean section was analyzed and compared.Results The incidence of dyspnea was 24.0% in the control group and 14.0% in the experimental group.The incidence of dyspnea in the control group was significantly higher than that in the experimental group (P< 0.05).There was no significant difference between the control group and the experimental group in 1 min Apgar score and 5 min Apgar score;the control group' s PO2 was significantly lower than the experimental group,the difference was statistically significant (P<0.05).The PCO2 and BE in the control group were significantly higher than those in the experimental group,the difference was statistically significant (P<0.05).There was no significant difference in the HCO3 - between the control group and the experimental group. Conclusion Neonates undergoing elective cesarean section are more likely to suffer from respiratory diseases,especially dyspnea,due to the physiological changes of non-delivery,uterine contraction and vaginal delivery.Therefore,we should give scientific and reasonable prenatal education during pregnancy,without obvious indications for cesarean section,should be carefully selected.

关 键 词：新生儿呼吸困难 择期剖宫产 阴式分娩 血气分析 

分 类 号：R722.1[医药卫生—儿科] R714[医药卫生—临床医学]