不同分娩方式对足月呼吸窘迫综合征患儿的影响分析

Analysis on the Effects of Different Delivery Methods on Respiratory Distress Syndrome in Term Infants

目的分析不同分娩方式对足月呼吸窘迫综合征(ARDS)患儿的影响。方法选取我院不同分娩方式出生的足月儿4 381例,对其临床资料进行回顾性分析,顺产2 467例,择期剖宫产1 134例,非择期剖宫产780例,记录ARDS发生率,分析不同分娩方式对ARDS患儿的影响。结果顺产的ARDS发生率为0.45%,低于择期剖宫产的2.47%(P<0.05)。顺产与非择期剖宫产的ARDS发生率比较差异无统计学意义(P>0.05)。择期剖宫产的ARDS发生率为2.47%,高于非择期剖宫产的0.38%(P<0.05)。40^(+1)~41周、39~(^(+1))~39^(^(+6))周、38^(+1)~38^(+6)周、37^(+1)~37^(+6)周的ARDS发生构成比分别为7.14%、10.71%、32.14%、50.00%。随着胎龄增加,ARDS发生率降低(P<0.05)。结论择期剖宫产是足月儿发生ARDS的危险因素之一,避免无指征的剖宫产是降低ARDS发生率的重要手段。

Objective To analyze the effects of different delivery methods on respiratory distress syndrome （ARDS） in term infants. Methods 4 381 cases of term infants with different delivery methods in our hospital were selected and their clinical data were retrospectively analyzed. There were 2 467 cases of vaginal delivery, 1 134 cases of elective cesarean section and 780 cases of non-elective cesarean section. The ARDS incidence was recorded, and the effects of different delivery methods on ARDS infants were analyzed. Results The ARDS incidence of vaginal delivery was 0.45 %, lower than 2.47% of elective cesarean section （P 〈0.05）. No statistical difference was found in the ARDS incidence between vaginal delivery and non-elective cesarean section （P〉0.05）. The ARDS incidence of elective cesarean section was 2.47%, higher than 0.38% of non-elective cesarean section （P〈0.05）. The ARDS constituent ratio of 40 ＋1 - 41 weeks, 39＋1 - 39＋6 weeks, 38＋1 - 38 ＋6 weeks and 37 ＋1 - 37＋6 weeks were respectively 7.14%, 10.71%, 32.14% and 50.00%. With the increase of gestational age, the ARDS incidence decreased （P〈0.05）. Conclusions Elective cesarean section is one of the risk factors for ARDS in term infants. Avoiding cesarean section without indications is an important method to reduce the ARDS incidence.