摘要
目的分析剖宫产与阴道分娩对早期新生儿黄疸的影响。方法选取2016年10月至2017年3月在山西医科大学附属汾阳医院产科分娩的1 000例正常足月新生儿,按照分娩方式不同将其分为:剖宫产组488例(其中临产剖宫产252例,选择性剖宫产236例),阴道分娩组512例。比较剖宫产组、阴道分娩组新生儿生后1周内黄疸发生率及临产剖宫产、选择性剖宫产新生儿生后1周内黄疸发生率。比较剖宫产组、阴道分娩组平均胆红素峰值。结果剖宫产组新生儿黄疸发生率(38.9%)高于阴道分娩组(24.0%),差异有统计学意义(P<0.05)。剖宫产组中临产剖宫产黄疸发生率(40.0%)略高于选择性剖宫产黄疸发生率(37.7%),但两者比较差异无统计学意义(P>0.05)。剖宫产组平均胆红素峰值高于阴道分娩组,两者比较差异有统计学意义(P<0.05)。结论剖宫产可使早期新生儿黄疸发生率及平均胆红素峰值升高,阴道分娩可降低早期新生儿黄疸的发生率及平均胆红素峰值。
Objective To analyze the effects of cesarean section and vaginal delivery on early neonatal jaundice. Methods From October 2016 to March 2017,1 000 normal full-term newborns delivered by different methods in the obstetrics department of Fuyang Hospital Affiliated to Shanxi Medical University were divided into 488 cases of cesarean section(including 252 cases of cesarean section decided during delivery, 236 cases of selective cesarean section) and 512 cases of vaginal delivery. The incidence of jaundice in 1 week after birth in cesarean section and vaginal delivery group was compared. And the incidence of jaundice within 1 week after birth in cesarean section decided during delivery and selective cesarean section was also compared. The average bilirubin peak was compared between the cesarean section and the vaginal delivery group. Results The incidence of neonatal jaundice in the cesarean section( 38.9%) was higher than that in the vaginal delivery group(24.0%), and the difference was statistically significant(P<0.05). The incidence of jaundice in the cesarean section decided during delivery(40.0%) was slightly higher than that in the selective cesarean section(37.7%),but the difference was not statistically significant(P>0.05). The average bilirubin peak in the cesarean section was higher than that in the vaginal delivery group, and the difference was statistically significant(P<0.05). Conclusion Cesarean section can increase the incidence of early neonatal jaundice and the average bilirubin peak, vaginal delivery can reduce the incidence of early neonatal jaundice and the average bilirubin peak.
作者
赵玉风
张爱莲
ZHAO Yu-feng;ZHANG Ai-liang(School of Public Health,Shanxi Medical University,Taiyuan ,Shanxi030000;Fenyang Hospital Affilitated to Shanxi Medical University,Fenyang ,Shanxi032200,China)
出处
《热带医学杂志》
CAS
2018年第12期1595-1597,共3页
Journal of Tropical Medicine
关键词
早期新生儿
阴道分娩
剖宫产
黄疸
Early newborn
Vaginal delivery
Cesarean section
Jaundice
