保留胎膜剖宫产对早产孕妇围产期出血量及新生儿结局的影响  

Effects of En Caul cesarean section for women with preterm labor on their perinatal blood loss and neonatal outcomes

作　　者：任宁 潘蕾 张小青 REN Ning;PAN Lei;ZHANG Xiaoqing(Nanchong East Hospital,Nanchong,Sichuan Province,637000)

机构地区：[1]四川省南充东方医院,637000

出　　处：《中国计划生育学杂志》2024年第10期2317-2321,共5页Chinese Journal of Family Planning

摘　　要：目的:探讨保留胎膜(En Caul)剖宫产对早产孕妇围产期出血量及新生儿结局的影响。方法:选择2020年1月-2023年1月本院早产孕妇80例,随机分为两组各40例,分别行En Caul剖宫产术(观察组)、传统剖宫产术(对照组)。记录两组孕妇围产期出血量、手术相关指标、新生儿结局。结果:观察组围产期出血量(500.24±90.77ml)少于对照组(590.30±105.19ml),新生儿出生后1min Apgar评分(8.42±0.95分)、5min Apgar评分(9.64±0.22分)均高于对照组(7.75±1.10分、9.40±0.31)分,新生儿脐带血血乳酸(1.71±0.20 mmol/L)、脐带血肌酸激酶(246.90±49.77 U/dl)、肌酸激酶同工酶(72.09±12.68 U/dl)水平均低于对照组(1.89±0.44 mmol/L、305.464±80.54 U/dl、89.67±20.54 U/dl),新生儿呼吸窘迫综合征(0)、新生儿窒息(2.5%)发生率均低于对照组(15.0%、20.0%)(均P<0.05)。结论:En Caul剖宫产术在早产孕妇中应用可减少围产期出血量,降低新生儿近期并发症发生率、改善新生儿Apgar评分,对新生儿结局有积极影响。Objective:To investigate the effects of En Caul cesarean section for women with preterm labor on their perinatal blood loss and neonatal outcomes.Methods:80 women with preterm labor who wanted cesarean section were selected and were randomly divided into two groups(40 case in each group)from January 2020 to January 2023.The women in the observation group were given En Caul cesarean section and the women in the control group were given traditional cesarean section.The perinatal blood loss,the operation-related indexes,and neonatal outcomes of the women in the two groups were recorded.Results:The perinatal blood loss(500.24±90.77 ml)of the women in the observation group was significantly less than that(590.30±105.19 ml)of the women in the control group.The Apgar scores of the newborns in the observation group at 1min(8.42±0.95 points)and at 5min(9.64±0.22 points)after birth were significantly higher than those(7.75±1.10 points and 9.40±0.31 points)of the newborns in the control group.The levels of the neonatal blood lactic acid(1.71±0.20 mmol/L)and the creatine kinase(246.90±49.77 U/dl)of umbilical cord blood,and the creatine kinase isoenzyme(72.09±12.68 U/dl)in the observation group were significantly lower than those(1.89±0.44 mmol/L,305.464±80.54 U/dl and 89.67±20.54 U/dl)in the control group.The incidences of the neonatal respiratory distress syndrome(0)and the neonatal asphyxia(2.5%)in the observation group were significantly lower than those(15.0%and 20.0%)in the control group(all P<0.05).Conclusion:En Caul cesarean section for treating the women with preterm labor can reduce their perinatal blood loss,reduce their neonatal complications incidence in the near term,improve their neonatal Apgar score,and have a positive impact on their neonatal outcomes.

关 键 词：早产孕妇 保留胎膜剖宫产 围产期出血量 新生儿结局 

分 类 号：R719.8[医药卫生—妇产科学]