摘要
目的分析择期剖宫分娩足月儿呼吸窘迫综合征(RDS)临床特点。方法收集本院2016年1月至2018年1月间接收的在足月择期剖宫产分娩出生的56例RDS患儿的临床资料,观察择期剖宫产分娩时机、胎龄、有无窒息、宫内感染等临床特点。结果胎龄37～39周(包括37周)与胎龄39～42周(包括39周)择期剖宫足月RDS患儿在窒息率、机械通气率、肺表面活性物质使用率以及治愈率等方面上对比,差异均无统计学意义,有无窒息患儿在胎龄方面对比差异无统计学意义,有窒息者起病时间短于无窒息者,治疗后OI低于无窒息者,机械通气时间短于无窒息者,差异有统计学意义(P<0.05),另外,观察有无窒息患儿的最终治愈率发现,无窒息者治愈率高达97.56%(40/41),有窒息者治愈率为66.67%(10/15),两者之间差异有统计学意义(P<0.05),将上述有差异资料带入Logistic回归方程计算,发现窒息是影响剖宫分娩足月儿呼吸窘迫综合征的主要影响因素,差异有统计学意义(P<0.05)。结论择期剖宫分娩足月儿呼吸窘迫综合征患儿通常出生时发生窒息,出生即起病。
Objective To study the clinical manifestations of respiratory distress syndrome (RDS) after the Cesarean section. Methods The clinical data about 56 full-term RDS infants electively underwent the Cesarean section from January 2016 to January 2018 in our hospital were analyzed. The delivery opportunity, gestational age, incidence rate of asphyxia and intrauterine infection were explored. Results The incidence rate of neonatal asphyxia, mechanical ventilation rate, usage rate of pulmonary surfactant and cure rate for infants with 37-39 gestational weeks (including 37 gestational weeks) and infants with 39-42 gestational weeks (including 39 gestational weeks) showed no statistical difference;the gestational age for asphyxia infants and non-asphyxia infants showed no statistical difference;compared with non-asphyxia infants, the onset time and mechanical ventilation time for asphyxia infants was shorter while the OI (oxygen index) was lower;there was statistical difference (P<0.05);the cure rate in non-asphyxia infants and asphyxia infants was 97.56%(40/41) and 66.67%(10/15), with statistical difference (P<0.05);according to the Logistic regression equation, it was known that the major influence factors of RDS was neonatal asphyxia (P<0.05). Conclusion After the Cesarean section, the full-term RDS infants are prone to have the neonatal asphyxia.
作者
卢志兰
Lu Zhilan(Huidong County Maternal And Child Health Family Planning Service Center, Huizhou, Guangdong, 516300, China)
出处
《当代医学》
2019年第7期45-47,共3页
Contemporary Medicine
关键词
择期剖宫产
分娩
足月儿
呼吸窘迫综合征
Elective Cesarean section
Delivery
Full-term
Respiratory distress syndrome
