选择性剖宫产与足月儿呼吸窘迫综合征回顾性分析

retrospective analysis of selective cesarean delivery and full term respiratory distress syndrome

目的回顾性分析选择性剖宫产与足月儿呼吸窘迫综合征之间的关系。方法选取2016年9月11日~2017年9月11日我院收治的1000例足月分娩儿为此次实验对象,且回顾性分析足月儿各项临床资料,并对出现呼吸窘迫综合征新生儿进行相应诊治工作。结果选择性剖宫产入院时间<12 h的所占比为84.00%,肺表面活性物质(pulmonary surfactant,PS)应用所占比为56.00%,开始上机时间<12 h所占比为50.00%,窒息史所占比为54.00%,其均高于自然分娩者,且存在差异性(P<0.05)。而导致选择性剖宫产新生儿出现呼吸窘迫综合征的高危因素为开始上机时间、窒息史、入院时间、PS应用。结论选择性剖宫产可增加足月儿呼吸窘迫综合征率,其诱发因素包括PS应用率、上机时间、窒息史。

Objective Retrospectively analyzing the relationship between selective caesarean section and full moon respiratory distress syndrome. Methods Selecting 1000 cases of full-term birth son as the experimental object, and the full moon were retrospectively analyzed the clinical data during September 11, 2016 to September 11, 2017, and the corresponding diagnosis and treatment of neonatal respiratory distress syndrome. Results Selective cesarean section hospitalized time〈 12 h is 84.00%, and PS application is 56.00%, initial uptime less than 12 h is 50.00%, the choking history by 54.00%, which were higher than natural birth, and exist difference （P〈0.05） . The high risk factors for the incidence of respiratory distress syndrome in selective caesarean delivery are the starting time, suffocation history, admission time, PS application. Conclusion Selective cesarean section can increase the rate of respiratory distress syndrome in the foot, and the inducement factors include the application rate of PS, the time of the machine and the history of suffocation.