不同分娩方式对新生儿的影响研究

Study on impact of different delivery modes on newborns

目的将阴道分娩和剖宫产分娩对新生儿的影响进行比较,证实阴道分娩的临床价值。方法回顾性分析延安市富县区人民医院妇产科2012年1月至2013年5月分娩的活产新生儿68例,按分娩方式将阴道分娩34例设为观察组,剖宫产分娩34例为对照组。分析比较两组新生儿脐血抵抗素浓度、免疫球蛋白水平、细胞免疫水平及新生儿质量等数据。结果观察组新生儿脐血抵抗素浓度、免疫球蛋白IgG、C3水平、细胞免疫水平及新生儿质量均优于对照组(P<0.05);IgA、IgM、C4等3种免疫蛋白比较,差异无统计学意义(P>0.05)。结论经阴道分娩的新生儿具有脐血抵抗素浓度高、免疫球蛋白IgG、C3水平高、细胞免疫水平高等优势,临床中应大力倡导产妇经阴道分娩。

Objective Impact of vaginal delivery and cesarean delivery on neonatal were compared to confirm the clinical value of vaginal delivery. Methods Data of 68 newborns in Fuxian District Peopleˊs Hospital of Gynecology and Obstetrics Department from January 2012 to May 2013 were retrospectively analyzed,68 cases were divided into observation group and control group according to delivery mode,34 cases in each group. Cases in observation group were with vaginal delivery,cases in control group were with cesarean delivery. neonatal data of two groups including the umbilical cord blood resistin concentration,immunoglobulin levels,cellular immune level and neonatal quality level were compared. Results The umbilical cord blood resistin concentration,immunoglobulin levels,cellular immune level and neonatal quality level of cases in study group were better than that in control group （ P〈0. 05）,no significant difference were found in IgA,IgM,C4 immune proteins between two groups（ P〉0. 05）. Conclusion Newborns with vaginal delivery have advantages in umbilical cord blood resistin concentration, immunoglobulins level,immune cell levels,which provide evidence for choose of delivery mode .