羊水污染产妇不同分娩方式对新生儿窒息发生率的影响分析  

Analysis of the Influence of Different Delivery Methods on the Incidence of Neonatal Asphyxia in Amniotic Fluid Contaminated Puerpera

作　　者：成岚[1] 申翠 冯亚娟[1] CHENG Lan;SHEN Cui;FENG Yajuan(Department of Obstetrics,Taizhou Second People′s Hospital,Taizhou,Jiangsu Province,225500 China)

机构地区：[1]泰州市第二人民医院产科,江苏泰州225500

出　　处：《系统医学》2023年第6期135-138,共4页Systems Medicine

摘　　要：目的探究羊水污染孕妇采用不同分娩方式对新生儿窒息发生率的影响。方法选取2021年7月—2022年11月期间泰州市第二人民医院产科收治的62例羊水污染产妇为研究对象,按照产妇分娩方式的差异性分为观察组和对照组,每组31例。观察组产妇采用剖宫产分娩方式,对照组产妇采用顺产方式,比较两组的新生儿窒息发生率,并分析两组新生儿肺炎和缺血缺氧性脑病发生情况。结果观察组新生儿轻度、重度窒息发生率以及窒息总发生率为12.90%、3.23%、16.13%,低于对照组的25.81%、12.90%、38.71%,差异有统计学意义(P<0.05)。观察组新生儿肺炎、缺血缺氧性脑病发生率为12.90%、3.23%,低于对照组的6.45%、9.68%,差异无统计学意义(χ^(2)=0.185、0.267,P>0.05)。结论对于羊水污染的产妇而言,剖宫产可以降低新生儿窒息发生率,但对于新生儿肺炎和缺血缺氧性脑病的发生情况则影响不大,故在临床实际中应结合患者实际情况优化分娩方式的选择,以此保障新生儿的健康。Objective Explore the impact of different delivery methods on the incidence of neonatal asphyxia in pregnant women with amniotic fluid contamination.Methods 62 pregnant women with amniotic fluid contamination admitted to the obstetrics department of the Second People′s Hospital of Taizhou City from July 2021 to November 2022 were selected as the research subjects.They were divided into an observation group and a control group based on the differences in delivery methods,with 31 cases in each group.The observation group was delivered by cesarean section,while the control group was delivered by natural delivery.The incidence of neonatal asphyxia was compared between the two groups,and the incidence of neonatal pneumonia and ischemic hypoxic encephalopathy was analyzed.Results The incidence of mild and severe neonatal asphyxia and the total incidence of asphyxia in the observation group were 12.90%,3.23%,and 16.13%,which were lower than the control group′s 25.81%,12.90%,and 38.71%,and the difference was statistically significant(P<0.05).The incidence rates of neonatal pneumonia and ischemic hypoxic encephalopathy in the observation group were 12.90%and 3.23%,which were lower than those in the control group(6.45%and 9.68%),and the difference was not statistically significant(χ^(2 )=0.185,0.267,P>0.05).Conclusion For mothers with amniotic fluid contamination,cesarean section can reduce the incidence of neonatal asphyxia,but has little effect on the occurrence of neonatal pneumonia and ischemic hypoxic encephalopathy.Therefore,in clinical practice,the choice of delivery method should be optimized in combination with the actual situation of the patient,so as to protect the health of the newborn.

关 键 词：羊水污染产妇 不同分娩方式 新生儿窒息发生率 影响 

分 类 号：R714.4[医药卫生—妇产科学]