剖宫产与阴道分娩对早期新生儿黄疸的影响分析

Analysis of the Influence of Cesarean Section and Vaginal Delivery on Early Neonatal Jaundice

目的探究不同的分娩方式对早期新生儿黄疸的影响。方法以分娩方式的差异性将方便选取2018年1月-2019年12月该院产科分娩的足月正常新生儿500例分组,设置为对照组(剖宫产分娩)纳入300例、研究组(阴道分娩顺产)纳入200例,从两组新生儿1周内的黄疸发生率、血清胆红素指数、黄疸首次出现时间等相关指标进行分析对比。结果研究组黄疸发生率23.5%明显低于对照组32.0%,差异有统计学意义(χ^2=4.246,P<0.05);同时经皮测定胆红素指数,研究组在1周内的指数值均比对照组更低,差异有统计学意义(t=4.153、5.481、4.789、5.065、7.670、9.819,P<0.05);两组黄疸首次出现时间、黄疸高峰时间组间对比差异无统计学意义(t=0.209、0.086,P>0.05),而研究组胆红素峰值明显低于对照组,差异有统计学意义(t=3.345,P<0.05)。结论相较剖宫产,采取阴道分娩的方式对降低早期新生儿黄疸发生风险及血清胆红素指数具有重要的作用,临床应做好相关宣传教育工作,鼓励自然分娩,可减少黄疸的发生,促进儿童健康发育。

Objective To explore the influence of different delivery methods on early neonatal jaundice.Methods According to the difference of delivery methods,500 normal newborns delivered in the hospital from January 2018 to December 2019 were conveniently selected grouped into two groups and set as a control group(cesarean section delivery)into 300 cases and a study group(vaginal section delivery order)200 cases were included.The incidence of jaundice,serum bilirubin index,time to first appearance of jaundice and other related indicators of the two groups of newborns within 1 week were analyzed and compared.Results The incidence of jaundice in the study group was 23.5%significantly lower than that of the control group 32.0%,and the difference was statistically significant(χ^2=4.246,P<0.05);at the same time,the bilirubin index was measured through the skin,and the index value of the study group was lower than the control group within one week,and the difference was statistically significant(t=4.153,5.481,4.789,5.065,7.670,9.819,P<0.05);there was no statistically significant difference between the two groups in the time of first appearance of jaundice and the peak time of jaundice(t=0.209,0.086,P>0.05),and the peak bilirubin in the study group was significantly lower than that in the control group,and the difference was statistically significant(t=3.345,P<0.05).Conclusion Compared with cesarean section,vaginal delivery has an important effect on reducing the risk of early neonatal jaundice and the serum bilirubin index.Clinical publicity and education work should be done to encourage natural delivery,which can reduce the occurrence of jaundice,to promote the healthy development of children.