足月选择性剖宫产时机对新生儿呼吸的影响  

The Influence of the Timing of Term Selective Cesarean Section on Newborn’s Breathing

作　　者：饶文英 RAO Wenying(Department of Obstetrics and Gynecology,Maternity and Child Health Hospital of Nanping City,Nanping,Fujian Province,353000 China)

机构地区：[1]福建省南平市妇幼保健院妇产科,福建南平353000

出　　处：《中外医疗》2021年第35期48-51,共4页China & Foreign Medical Treatment

摘　　要：目的探究足月选择性剖宫产时机对新生儿呼吸的影响。方法回顾性分析2018年3月—2020年9月在该院分娩的687例足月产妇作为研究对象,按不同分娩方式和选择时机将其分为自然分娩组(420名)、选择性剖宫产组(115例)和非选择性剖宫产组(152例),比较3组新生儿呼吸窘迫综合征、新生儿窒息、湿肺或新生儿暂时性呼吸急促、新生儿肺炎、持续性肺动脉高压或持续胎儿循环、自发性气胸发生率。将选择性剖宫产组根据不同孕龄进行分组:37~37^(+6)组(30例)、38~38^(+6)组(25例)、39~39^(+6)组(32例)、40~40^(+6)组(28例),比较4组的新生儿呼吸窘迫综合征、新生儿窒息、湿肺或新生儿暂时性呼吸急促、新生儿肺炎、持续性肺动脉高压或持续胎儿循环、自发性气胸发生率。结果选择性剖宫产组的新生儿呼吸窘迫综合征(5.22%)、新生儿窒息(5.22%)、湿肺或新生儿暂时性呼吸急促(7.83%)、新生儿肺炎(6.09%)、持续性肺动脉高压或持续胎儿循环(6.96%)、自发性气胸发生率(8.70%)均高于自然分娩组、非选择性剖宫产组,差异有统计学意义(P<0.05)。自然分娩组与非选择性剖宫产组的新生儿呼吸窘迫综合征、新生儿窒息、湿肺或新生儿暂时性呼吸急促、新生儿肺炎、持续性肺动脉高压或持续胎儿循环、自发性气胸发生率相比,差异无统计学意义(P>0.05)。在选择性剖宫产组中,产妇孕龄越小,新生儿出现呼吸窘迫综合征、窒息、肺炎、持续性肺动脉高压或持续胎儿循环、自发性气胸的概率越高,其中39~40周概率最小,但>40周概率开始上升,各组之间的发生率相比差异无统计学意义(P>0.05)。结论足月选择性剖宫产中新生儿出现呼吸系统疾病的发病率更高于自然分娩和非足月选择性剖宫产新生儿,若必须进行剖宫产分娩,可适当延迟分娩时间,以减少新生儿呼吸系统疾病的发生。Objective To explore the influence of the timing of term selective cesarean section on neonatal breathing.Methods A retrospective analysis of 687 full-term women who gave birth in the hospital from March 2018 to September 2020 was taken as the research object.According to different delivery methods and timing,they were divided into natural delivery group(420 cases),selective cesarean section group(115 cases)and non-selective cesarean section group(152 cases).The incidence of neonatal respiratory distress syndrome,neonatal asphyxia,wet lung or neonatal shortness of breath,neonatal pneumonia,persistent pulmonary hypertension or continuous fetal circulation,and spontaneous pneumothorax were compared among the three groups.The selective cesarean section group was divided into groups according to different gestational ages:37-37^(+6) group(30 cases),38-38^(+6) group(25 cases),39-39^(+6) group(32 cases),40-40^(+6) group(28 cases).The incidence of neonatal respiratory distress syndrome,neonatal asphyxia,wet lung or neonatal shortness of breath,neonatal pneumonia,persistent pulmonary hypertension or continuous fetal circulation,and spontaneous pneumothorax were compared among the four groups.Results Neonatal respiratory distress syndrome(5.22%),neonatal asphyxia(5.22%),wet lung or neonatal shortness of breath(7.83%),neonatal pneumonia(6.09%),the incidence of persistent pulmonary hypertension or continuous fetal circulation(6.96%)and spontaneous pneumothorax(8.70%)were higher than those in the natural delivery group and non-selective cesarean section group,and the difference was statistically significant(P<0.05).Neonatal respiratory distress syndrome,neonatal asphyxia,wet lung or neonatal transient shortness of breath,neonatal pneumonia,persistent pulmonary hypertension or continuous fetal circulation,spontaneous pneumothorax in the natural delivery group and the non-selective cesarean section group compared with the rate,the difference was not statistically significant(P>0.05).In the elective cesarean section group,the y

关 键 词：足月选择性剖宫产 时机 新生儿 胎龄 呼吸系统疾病 

分 类 号：R719[医药卫生—妇产科学]