中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
5期
45-47
,共3页
择期剖宫产%阴式分娩%Apgar评分%NBNA评分%免疫功能
擇期剖宮產%陰式分娩%Apgar評分%NBNA評分%免疫功能
택기부궁산%음식분면%Apgar평분%NBNA평분%면역공능
Elective cesarean section%Vaginal delivery%Apgar score%NBNA score%Immune function
目的：研究择期剖宫产与阴式分娩对新生儿预后的影响。方法选择本院产科出生的204例新生儿，按照分娩方式将其分为择期剖宫产组与阴式分娩组，比较两组新生儿的Apgar评分、NBNA评分及免疫指标。结果择期剖宫产组新生儿1分钟、5分钟 Apgar评分分别为（9.92±0.25）分、（9.93±0.34）分，阴式分娩组新生儿1分钟、5分钟Apgar评分分别为（9.83±0.43）分、（9.94±0.27）分，两组新生儿1分钟、5分钟 Apgar评分比较无显著性差异（P＞0.05）。择期剖宫产组新生儿NBNA评分的基础分、加分、转头次数、头竖立时间、踏步反射步数与阴式分娩组新生儿比较差异无显著性（P＞0.05）。在同性别新生儿中，择期剖宫产组新生儿C反应蛋白、免疫球蛋白A（IgA）明显高于阴式分娩组，免疫球蛋白G（IgG）、免疫球蛋白M（IgM）明显低于阴式分娩组，组间比较存在显著性差异（P＜0.05）。择期剖宫产组男性新生儿IgG水平明显高于女性新生儿，而IgM、IgA水平明显低于女性新生儿（P＜0.05）。结论择期剖宫产与阴式分娩两种分娩方式对新生儿Apgar评分及NBNA评分的影响无明显差异，但择期剖宫产会降低新生儿的免疫功能，增加患病机会。
目的：研究擇期剖宮產與陰式分娩對新生兒預後的影響。方法選擇本院產科齣生的204例新生兒，按照分娩方式將其分為擇期剖宮產組與陰式分娩組，比較兩組新生兒的Apgar評分、NBNA評分及免疫指標。結果擇期剖宮產組新生兒1分鐘、5分鐘 Apgar評分分彆為（9.92±0.25）分、（9.93±0.34）分，陰式分娩組新生兒1分鐘、5分鐘Apgar評分分彆為（9.83±0.43）分、（9.94±0.27）分，兩組新生兒1分鐘、5分鐘 Apgar評分比較無顯著性差異（P＞0.05）。擇期剖宮產組新生兒NBNA評分的基礎分、加分、轉頭次數、頭豎立時間、踏步反射步數與陰式分娩組新生兒比較差異無顯著性（P＞0.05）。在同性彆新生兒中，擇期剖宮產組新生兒C反應蛋白、免疫毬蛋白A（IgA）明顯高于陰式分娩組，免疫毬蛋白G（IgG）、免疫毬蛋白M（IgM）明顯低于陰式分娩組，組間比較存在顯著性差異（P＜0.05）。擇期剖宮產組男性新生兒IgG水平明顯高于女性新生兒，而IgM、IgA水平明顯低于女性新生兒（P＜0.05）。結論擇期剖宮產與陰式分娩兩種分娩方式對新生兒Apgar評分及NBNA評分的影響無明顯差異，但擇期剖宮產會降低新生兒的免疫功能，增加患病機會。
목적：연구택기부궁산여음식분면대신생인예후적영향。방법선택본원산과출생적204례신생인，안조분면방식장기분위택기부궁산조여음식분면조，비교량조신생인적Apgar평분、NBNA평분급면역지표。결과택기부궁산조신생인1분종、5분종 Apgar평분분별위（9.92±0.25）분、（9.93±0.34）분，음식분면조신생인1분종、5분종Apgar평분분별위（9.83±0.43）분、（9.94±0.27）분，량조신생인1분종、5분종 Apgar평분비교무현저성차이（P＞0.05）。택기부궁산조신생인NBNA평분적기출분、가분、전두차수、두수립시간、답보반사보수여음식분면조신생인비교차이무현저성（P＞0.05）。재동성별신생인중，택기부궁산조신생인C반응단백、면역구단백A（IgA）명현고우음식분면조，면역구단백G（IgG）、면역구단백M（IgM）명현저우음식분면조，조간비교존재현저성차이（P＜0.05）。택기부궁산조남성신생인IgG수평명현고우녀성신생인，이IgM、IgA수평명현저우녀성신생인（P＜0.05）。결론택기부궁산여음식분면량충분면방식대신생인Apgar평분급NBNA평분적영향무명현차이，단택기부궁산회강저신생인적면역공능，증가환병궤회。
ObjectiveTo study the effects of elective cesarean section and vaginal delivery on neonatal prognosis.Methods204 cases of newborn were selected, they were divided into two groups, the elective cesarean section group or vaginal delivery group according to the mode of delivery, neonatal Apgar score of two groups, NBNA score and the immune index.ResultsThe elective cesarean section group in 1 min, 5 min Apgar scores were (9.92±0.25), (9.93±0.34), vaginal delivery group (9.83±0.43), (9.94±0.27), 1 min, 5 min and Apgar among two groups was no signiifcant difference (P>0.05). Basic elective cesarean section group neonatal NBNA score points, bonus, head, head erect, the number of time stepping reflex steps and vaginal delivery groups there was no signiifcant difference (P>0.05). In gender in newborns, elective cesarean section group neonatal C-reactive protein, IgA was signiifcantly higher than that in vaginal delivery group, IgG, IgM was signiifcantly lower than that in vaginal delivery group, there was signiifcant difference between groups (P<0.05). Elective cesarean section group of male neonatal IgG level was signiifcantly higher than that in female, while IgM, IgA was signiifcantly lower than that of the female (P<0.05).ConclusionIn conclusion, there is no signiifcant difference in elective cesarean section and vaginal delivery in two kinds of mode of delivery on neonatal Apgar score and NBNA score, but selective cesarean section can reduce immune function of neonates, increased chance of illness.
