国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
8期
1063-1065,1068
,共4页
择期剖宫产%阴式分娩%新生儿%Apgar评分%NBNA评分%免疫
擇期剖宮產%陰式分娩%新生兒%Apgar評分%NBNA評分%免疫
택기부궁산%음식분면%신생인%Apgar평분%NBNA평분%면역
Optional cesarean section%Vaginal delivery%Newborn%Apgar score%NBNA score%Immune
目的 研究择期剖宫产及阴式分娩对新生儿Apgar评分、NBNA(新生儿神经行为测定)评分及免疫指标的影响.方法 选取我院产科出生的新生儿170例作为研究对象.按照分娩方式进行分组,其中择期剖宫产方式分娩新生儿归为观察组,阴式分娩新生儿归为对照组.对比两组新生儿出生后各时间点Apgar评分、出生后2天NBNA评分以及各免疫指标情况.结果 两组新生儿出生后1 min及5 min Apgar评分,组内及组间对比,差异均无统计学意义(P＞0.05).两组新生儿出生后2d NBNA评分基础分及加分、向声源转头次数、手持握次数以及自动踏步步数对比,差异均无统计学意义(P＞ 0.05).观察组新生儿IgM、IgG及IgA水平均显著低于对照组,差异有统计学意义(P＜0.05).结论 择期剖宫产及阴式分娩对于新生儿Apgar评分以及NBNA评分等影响均无显著差异,而择期剖宫产对新生儿免疫能力有降低作用,提升其患病危险.
目的 研究擇期剖宮產及陰式分娩對新生兒Apgar評分、NBNA(新生兒神經行為測定)評分及免疫指標的影響.方法 選取我院產科齣生的新生兒170例作為研究對象.按照分娩方式進行分組,其中擇期剖宮產方式分娩新生兒歸為觀察組,陰式分娩新生兒歸為對照組.對比兩組新生兒齣生後各時間點Apgar評分、齣生後2天NBNA評分以及各免疫指標情況.結果 兩組新生兒齣生後1 min及5 min Apgar評分,組內及組間對比,差異均無統計學意義(P＞0.05).兩組新生兒齣生後2d NBNA評分基礎分及加分、嚮聲源轉頭次數、手持握次數以及自動踏步步數對比,差異均無統計學意義(P＞ 0.05).觀察組新生兒IgM、IgG及IgA水平均顯著低于對照組,差異有統計學意義(P＜0.05).結論 擇期剖宮產及陰式分娩對于新生兒Apgar評分以及NBNA評分等影響均無顯著差異,而擇期剖宮產對新生兒免疫能力有降低作用,提升其患病危險.
목적 연구택기부궁산급음식분면대신생인Apgar평분、NBNA(신생인신경행위측정)평분급면역지표적영향.방법 선취아원산과출생적신생인170례작위연구대상.안조분면방식진행분조,기중택기부궁산방식분면신생인귀위관찰조,음식분면신생인귀위대조조.대비량조신생인출생후각시간점Apgar평분、출생후2천NBNA평분이급각면역지표정황.결과 량조신생인출생후1 min급5 min Apgar평분,조내급조간대비,차이균무통계학의의(P＞0.05).량조신생인출생후2d NBNA평분기출분급가분、향성원전두차수、수지악차수이급자동답보보수대비,차이균무통계학의의(P＞ 0.05).관찰조신생인IgM、IgG급IgA수평균현저저우대조조,차이유통계학의의(P＜0.05).결론 택기부궁산급음식분면대우신생인Apgar평분이급NBNA평분등영향균무현저차이,이택기부궁산대신생인면역능력유강저작용,제승기환병위험.
Objective To study the impact of optional cesarean section and vaginal delivery on neonatal Apgar score,NBNA score and immune indexes.Methods 170 cases of newborns in obstetric of our hospital from March 2013 to March 2014 were selected as research objects and grouped according to delivery mode,optional cesarean section as observation group,vaginal delivery as control group.Compared neonatal Apgar score at each time point after birth,NBNA score 2 days after birth,and immune indexes of two groups.Results There were no statistically significant differences in Apgar score 1,5 minutes after birth within the group and the contrast between groups (P＞0.05).There were no statistically significant differences in base score and additional score of NBNA score 2 days after birth,times of turning to the sound source and hand-held grip,steps of automatic step between two groups (P＞0.05).The neonatal levels of IgM,IgG and IgA of observation group were significantly lower than those of control group,with statistically significant differences (all P＜0.05).Conclusion Effects of optional cesarean section and vaginal delivery on neonatal Apgar score and NBNA score had no significant difference,while optional cesarean section reduced neonatal immunity,raising their risk.
