高原地区剖宫产出生婴儿124例临床分析

Clinical analysis of 124 infants of caesarean at plateaus

目的研究高原地区剖宫产出生婴儿的特点和并发症。方法设高原地区(西藏林芝地区,平均海拔3100m)剖宫产出生婴儿124例为研究组,平原地区(广东省惠州市)剖宫产出生婴儿125例为对照组,对两组新生儿阿氏评分、体重、身长、头围、新生儿窒息率、新生儿死亡率及剖宫产指征等多项指标进行统计学分析。结果高原地区出生婴儿低体重率明显高于对照组,巨大儿率明显低于对照组,头围/身长比高于对照组,新生儿窒息率明显高于对照组,剖宫产指征中胎儿窘迫占有率明显高于对照组。结论高原地区婴儿出生前,在宫内已经慢性缺氧,影响胎儿发育,对胎儿体重,头围/身长比,新生儿窒息率有显著相关性,增加剖宫产率。该地区出生婴儿成年后患病率及预防方法有待研究。

Objective 124 plateau infants of caesarean were studied in straits and complications. Methods A plateau（Linzhi District of Tibet,mean altitude 3100 metres）group of 124 infants of caesarean as experimental group,and a plain（Huizhou District of Guangdong Province）group of 125 infants of caesarean as controls were set up respectively. The two groups were analysed in Apgar scores,weight,height, head circumference ,death rates ,and asphyxia rates. Results The low weight rate of infants of caesarean in plateau group was dramatically higher than the control group. Huge infants rates were dramatically lower than the control group. Infants asphyxia rate was higher than the control group at caesarean. Conclusion Before plateaus infants were born, some factors affected their weight, head circumference, height,infants asphyxia rate. Plateaus infants^2 sickness rate and methods of prevention are to be deeply studied.