摘要
目的探讨剖宫产(cesarean section,CS)中新生儿产伤(birth injury,BI)临床特征及相关危险因素。方法选择2012年9月至2014年8月,在本院接受剖宫产的孕妇80例,经检测出现产伤,作为观察组,并对其进行干预治疗;另外选取同期在本院待产的经检测发生产伤的非剖宫产妇80例,作为对照组。观察两组新生儿产伤类型,并进行统计分析,并进一步通过多因素Logistic回归分析,得出新生儿发生产伤的危险因素。结果观察组新生儿产伤主要集中在皮肤软组织损伤、颅内出血以及头颅血肿方面,与对照组明显不同,差异具有统计学意义(P>0.05);单因素分析显示,性别、产次与产伤发生无明显相关性,差异具有统计学意义(P>0.05);胎龄、新生儿体重、5分钟Apgar评分以及出生地与产伤发生明显相关,且差异具有统计学意义(P<0.05);通过多因素Logistic回归分析新生儿发生产伤的危险因素,结果显示,胎龄、新生儿体重以及接产技术是新生儿发生产伤的独立危险因素(P<0.05)。结论胎龄、新生儿体重以及接产技术与剖宫产中新生儿发生产伤密切相关,对照以上因素,产前进行全面检查,准确评估胎儿胎龄以及体重,提高接产技术,加强相关干预措施对新生儿以及孕妇健康具有重要意义。
ObjectiveTo investigate the risk factors and clinical features of birth injury during cesarean section.Methods80patientswith birth injury accepted cesarean section in our hospital from September 2012 to August 2014 were selected as the observation group in this study, intervention treatment was implemented during this period. At the same term another 80 cases with birth injury who didn＆39;t accepted cesarean section our hospital were selected as the control group, who only received conventional nursing during the period of treatment. Observed and compared the types of birth injury for statistical analysis in the two groups, while screening the risk factors of birth injury furtherly through the multi-factor Logistic regression analysis. Results The neonatal birth trauma mainly concentrated in the skin soft tissue damage, cranial hematoma, intracranial hemorrhage in the observation group, which different from the control group, the difference was statistically significant （ P〈0.05）. The gender, production time were not associated with birth injury, the difference was no statistically significant （ P〉0.05）. The multi-factor Logistic regression analysis showed that the gestational age, birth weight, 5 minutes Apgar score and delivery technology were risk factors of birth trauma （ P〈0.05）. ConclusionThe gestational age, birth weight and delivery technology were closely related to the occurrence of birth injury, thus the antenatal comprehen-sive inspection, accurate assessment of fetal gestational age and weight, improving of the delivery technology, and intervention measures had a great signifi-cance for the neonatal and maternal health.
出处
《浙江创伤外科》
2015年第3期425-427,共3页
Zhejiang Journal of Traumatic Surgery
关键词
剖宫产
新生儿产伤
危险因素
Cesarean section
Injury during
Risk factors
