[1]刘亚萍,孟海霞*.晚期早产的高危因素及不同分娩方式对新生儿预后影响的研究[J].中国计划生育和妇产科,2017,(3):53-56.
　LIU Ya-ping,MENG Hai-xia*.Study on the risk factors of late premature delivery and the influences of different modes of delivery on neonatal prognosis[J].Chinese Journal of Family Planning & Gynecotokology,2017,(3):53-56.
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晚期早产的高危因素及不同分娩方式对新生儿预后影响的研究
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年3期
页码:
53-56
栏目:
论著与临床
出版日期:
2017-03-25

文章信息/Info

Title:
Study on the risk factors of late premature delivery and the influences of different modes of delivery on neonatal prognosis
作者:
刘亚萍; 孟海霞*
内蒙古医科大学附属医院妇产科
Author(s):
LIU Ya-ping; MENG Hai-xia*
Department of Obstetrics and Gynecology,The Affiliated Hospital of Inner Mongolia Medical University, Hohhot Inner Mongolia 010010,P.R.China
关键词:
晚期早产; 足月分娩; 高危因素; 分娩方式
Keywords:
late premature delivery;  term delivery;  risk factors;  mode of delivery
分类号:
R 714.7
摘要:
目的分析晚期早产的高危因素及不同分娩方式对新生儿预后的影响。方法回顾性分析2013年1月至2014年6月在内蒙古医科大学附属医院住院分娩的胎龄34~40周的孕妇及其新生儿的临床资料，根据分娩孕周将其分为晚期早产组(34~36周)738例，足月分娩组（37~40周）4 380例，分析晚期早产的高危因素及不同分娩方式对新生儿预后的影响。结果① 二元Logistic回归分析显示，晚期早产的高危因素为妊娠期高血压疾病、瘢痕子宫、前置胎盘、胎盘早剥、胎膜早破。② 经剖宫产分娩的新生儿转入新生儿监护病房(neonatal intensive care unit,NICU)率明显高于顺产分娩儿（P＜005）。③ 晚期早产儿中，剖宫产分娩儿转入NICU率、高胆红素血症发生率、呼吸窘迫综合征（respiratory distress syndrome ，RDS）发生率明显高于顺产分娩儿（P＜005）；足月儿中，剖宫产分娩儿转入NICU率、高胆红素血症、RDS及感染性疾病发生率明显高于顺产分娩儿（P＜005）。结论晚期早产与足月分娩高危因素存在差异，剖宫产分娩儿多种疾病的发生率比顺产分娩儿高，故应依据胎龄采取相应措施，尽量选择阴道分娩。
Abstract:
ObjectiveTo analyze the risk factors of late premature delivery and the influences of different modes of delivery on neonatal prognosis. MethodsRetrospective analysis of clinical data of pregnant women gestational age of 34 to 40 weeks from January 2013 to June 2014 at Inner Mongolia Medical University Hospital and their neonatal.According to the gestational weeks of delivery they were divided into late premature group(738 cases) and full-term birth group(4 380 cases).The differences of risk factors between the two groups were analyzed and compared,and the effects of different modes of delivery on neonatal prognosis were analyzed. Results① Binary Logistic regression analysis showed that the risk factors of advanced preterm birth were hypertensive disorder complicating pregnancy, scar uterus, placenta previa, placental abruption and premature rupture of membranes. ② The rate of neonates transferred to NICU by cesarean delivery was significantly higher than that of normal birth (P<005). ③ The incidences of NICU,hyperbilirubinemia and respiratory distress syndrome(RDS) of the late preterm infants were significantly higher in cesarean delivery than in spontaneous delivery(P<005). Among the term infants, the incidence of NICU,hyperbilirubinemia,RDS and infectious diseases of cesarean delivery were significantly higher than those of spontaneous delivery(P<005).ConclusionThe risk factors of late premature delivery and term delivery are different.The incidences of a variety of diseases in cesarean delivery are higher than those of spontaneous delivery. Therefore, we should take appropriate measures based on gestational age to try to choose vaginal delivery.

参考文献/References:

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备注/Memo

备注/Memo:
内蒙古自治区自然科学基金项目（项目编号：2015MS08127）
更新日期/Last Update: 2017-03-25