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目的:探讨选择性剖宫产与阴道分娩对足月儿呼吸窘迫综合征发生的影响。方法:选取我院妇产科2010年1月-2012年12月足月儿患者1236例,分析其剖宫产、选择性剖宫产发生率、阴道分娩与选择性剖宫产并发呼吸窘迫综合症发生率、不同孕周选择性剖宫产并发呼吸窘迫综合征发生率。结果:2012年剖宫产率(48.37%)、选择性剖宫产率(23.17%)明显高于2010年;选择性剖宫产并发NRDS风险率(2.79%)明显高于阴道分娩组;37-38孕周选择性剖宫产并发NRDS风险率明显高于39-41孕周。结论:选择性剖宫产足月儿呼吸窘迫综合征发生风险明显增高,且随着胎龄增加逐渐降低。
Objective: To investigate the effect of selective cesarean section and vaginal delivery on full-term respiratory distress syndrome. Methods: 1280 cases of full-term children were selected from January 2010 to December 2012 in our hospital. The incidence of cesarean section, selective cesarean section, vaginal delivery and selective cesarean section combined with respiratory distress syndrome The incidence of disease, different gestational weeks of selective cesarean section complicated with respiratory distress syndrome incidence. Results: The rate of cesarean section (48.37%) and selective cesarean section (23.17%) in 2012 were significantly higher than those in 2010; the risk of selective cesarean section with concurrent NRDS (2.79%) was significantly higher than that of vaginal delivery group. -38 gestational age selective cesarean section concurrent NRDS risk was significantly higher than 39-41 gestational weeks. Conclusion: The risk of respiratory distress syndrome in full-term infants with selective cesarean section is significantly increased, and gradually decreases with gestational age.