不同羊水污染程度及分娩方式对新生儿结局的影响  

Impact of Different Amniotic Fluid Contamination Degree and Delivery Modes on Neonatal Outcomes

作　　者：宋艳 翁玲玲 冯秀梅[1] SONG Yan;WENG Lingling;FENG Xiumei(Department of Obstetrics,Zhengzhou Maternal and Child Health Hospital,Zhengzhou 450012,China)

机构地区：[1]郑州市妇幼保健院产科,河南郑州450012

出　　处：《临床医学工程》2023年第4期469-470,共2页Clinical Medicine & Engineering

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20200743)。

摘　　要：目的探讨不同羊水污染程度及分娩方式对新生儿结局的影响。方法140例羊水污染产妇按照羊水污染程度的不同分为Ⅰ~Ⅱ度组和Ⅲ度组,比较不同羊水污染程度及分娩方式的新生儿结局。结果Ⅲ度组的阴道分娩率低于Ⅰ~Ⅱ度组,产钳助产率及剖宫产率均高于Ⅰ~Ⅱ度组(P<0.05)。Ⅲ度组与Ⅰ~Ⅱ度组的新生儿Apgar评分及窒息、吸入性肺炎、缺血缺氧性脑病发生率比较,差异无统计学意义(P>0.05)。不同分娩方式的新生儿Apgar评分及不良结局发生率比较,差异无统计学意义(P>0.05)。结论羊水污染程度及分娩方式对新生儿不良结局无直接影响,但羊水污染程度会影响产妇的分娩方式。Objective To explore the impact of different amniotic fluid contamination degree and delivery modes on neonatal outcomes.Methods 140 pregnant women with amniotic fluid contamination were divided into Ⅰ~Ⅱ degree group and Ⅲ degree group.The neonatal outcomes of different amniotic fluid contamination degree and delivery modes were compared.Results The vaginal delivery rate in the Ⅲ degree group was lower than that in the Ⅰ~Ⅱ degree group,and the forceps delivery rate and cesarean section rate were higher than those in the Ⅰ~Ⅱ degree group(P<0.05).No significant difference was found in the neonatal Apgar score and the incidences of asphyxia,aspiration pneumonia,and ischemic hypoxic encephalopathy between the Ⅲ degree group and the Ⅰ~Ⅱ degree group(P>0.05).No significant difference was found in the neonatal Apgar score and the incidences of adverse outcomes among newborns with different delivery modes(P>0.05).Conclusions Amniotic fluid contamination degree and delivery mode have no direct impact on the adverse outcomes of newborns,but the amniotic fluid contamination degree can affect the delivery modes of pregnant women.

关 键 词：羊水污染 分娩方式 新生儿结局 

分 类 号：R714.4[医药卫生—妇产科学]