择期剖宫产产前使用激素对足月儿呼吸窘迫综合征的影响

Impact of prenatal hormones on the full-term child respiratory distress syndrome which was elective cesarean section

【目的】探讨择期剖宫产产前使用激素对足月儿呼吸窘迫综合征(respiratory distress syndrome,RDS)发生率及并发症等的影响。【方法】以2010年1月-2011年1月在湖州妇幼保健院择期剖宫产(孕周在37～40周之间)所生足月儿2 606例为对象,根据是否使用激素分为两组,一组其母于分娩24h前正规使用地塞米松1个疗程,该组为观察组;另一组未使用激素的足月儿为对照组;并把两组根据不同胎龄分别分为3小组,分别为37～37+6;38～38+6;39～40周组,比较不同胎龄择期剖宫产RDS发生率的高低,合并并发症情况比较。【结果】观察组RDS发生率显著低于对照组,不同孕周发生率亦不同,而且观察组患儿病情较对照组轻。【结论】37～38周择期剖宫产产前使用激素值得推广。

[Objective] To investigate the effect of elective cesarean section prenatal hormones on the lull-term mlants respiratory distress syndrome （RDS） incidence and complications. [Methods] The 2 606 cases of survival of full-term in- fants born in Huzhou Maternal and Child Healtheare Hospital between January, 2010 to January, 2011. Cases were divided into two groups：dexamethasone was used for a course more than 24 hours before the baby was born as observation group; the other group was the control group without dexamethasone. And the two groups were divided into three groups, depen- ding on gestational age, respectively, which were gestat^onal age 37 ~ 37 ＋6 weeks, gestational age 38 ~ 38＋6 weeks, gestation- al age 39~40 weeks. The different gestationgal age of the incidence of RDS and complications were compared. [Result] The incidence of RDS in the observation group was significantly lower than the control group, and the incidence in the differ- ent gestational was different,and the condition of the observation group was light compared with the control group. [Conclusion] 37-38 weeks cesarean section prenatal use of hormones is worth promoting.