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目的探讨足月剖宫产新生儿并发急性呼吸窘迫综合征的相关危险因素。方法以足月剖宫产新生儿并发急性呼吸窘迫综合征患儿40例为研究对象,同时以40例健康足月生理产新生儿为对照组,应用单因素方差分析选择性剖宫产与非选择性剖宫产发生急性呼吸窘迫综合征有无统计学意义,应用Logistic回归分析两组新生儿在出生体重、产时窒息、胎膜早破、母亲妊娠期合并糖尿病、宫内胆汁淤积症以及哮喘有无统计学意义。结果单因素方差分析提示选择性剖宫产组ARDS发生率明显高于非选择性剖宫产组,差异有统计学意义(P<0.05)。Logistic回归分析结果提示出生体重、产时窒息、胎膜早破、母亲妊娠期合并糖尿病、宫内胆汁淤积症以及哮喘与剖宫产儿ARDS的发生密切相关。结论选择性剖宫产是导致足月剖宫产新生儿并发ARDS的重要危险因素。产时窒息、胎膜早破、母亲妊娠合并糖尿病、宫内胆汁淤积症以及哮喘是足月剖宫产新生儿发生ARDS的危险因素,而高出生体重是足月剖宫产儿发生ARDS的保护因素。
Objective To investigate the related risk factors of neonatal cesarean section with acute respiratory distress syndrome. Methods Forty infants with full-term cesarean section with acute respiratory distress syndrome were enrolled in this study. Forty healthy full-term neonates were selected as control group. One-way analysis of variance (ANOVA) Selective cesarean section occurred in acute respiratory distress syndrome was statistically significant, the application of Logistic regression analysis of two groups of newborns in birth weight, birth asphyxia, premature rupture of membranes, the mother with gestational diabetes mellitus, intrauterine cholestasis and Asthma was statistically significant. Results One-way ANOVA showed that the incidence of ARDS in selective cesarean section was significantly higher than that in non-selective cesarean section (P <0.05). Logistic regression analysis showed that birth weight, birth asphyxia, premature rupture of membranes, maternal pregnancy with diabetes, intrauterine cholestasis and asthma are closely related to the occurrence of ARDS in cesarean section. Conclusion Selective cesarean section is an important risk factor for newborn infants with cesarean section due to ARDS. Childbirth cesarean section ARDS protection in term cesarean section due to birth apnea, premature rupture of membranes, pregnancy with diabetes mellitus, intrauterine cholestasis and asthma are risk factors for ARDS in term cesarean section neonates factor.