不同分娩方法对足月妊娠临产胎儿窘迫的影响

摘要

Objective To explore affect of different delivery methods on fetal distress of full-term pregnancy in labor. Methods 120 cases of full term pregnancy women in our hospital from August 2011 to September 2014 were selected and divided into cesarean section group of 40 cases and spontaneous delivery group of 80 cases according to the dif-ferent modes of delivery.The incidence of fetal distress was observed between two groups.While the prognosis of new-born was detected and recorded. Results Cesarean section group had six cases of fetal distress,the incidence rate was 15.0%;natural childbirth group had three cases of fetal distress,the incidence rate was 3.8%,had successfully transferred cesarean section.Incidence rate of fetal distress in natural childbirth group was significantly lower than that in cesarean section group(P<0.05).Newborn’s birth weight in natural childbirth group was significantly heavier than that in cesarean section group (P<0.05).Serum CK and CK-MB level in natural childbirth group was significantly lower than that in ce-sarean section group respectively (P<0.05).The childbirth satisfaction rate in natural childbirth group was 98.8%,the childbirth satisfaction rate in cesarean section group was 80.0%.The childbirth satisfaction rate in natural childbirth group was significantly higher than that in cesarean section group(P<0.05). Conclusion Compared with cesarean,natural childbirth term pregnancy and labor can reduce the incidence rate of fetal distress,improve birth weight,its effect may be related to decreased serum CK and CK-MB level.%目的：探讨不同分娩方法对足月妊娠临产胎儿窘迫的影响。方法选择2011年8月~2014年9月在本院进行分娩的足月妊娠临产产妇120例，根据分娩方式的不同分为剖宫产组40例与自然分娩组80例，观察两组的胎儿窘迫发生情况，同时对新生儿预后情况进行检测与记录。结果剖宫产组发生胎儿窘迫6例，发生率为15.0%；自然分娩组发生胎儿窘迫3例，发生率为3.8%，都顺利转剖宫产。自然分娩组的胎儿窘迫发生率明显低于剖宫产组(P<0.05)。自然分娩组新生儿体重明显重于剖宫产组，血清CK和CK-MB浓度明显低于剖宫产组(P<0.05)。自然分娩组的分娩满意度为98.8%，剖宫产组为80.0%，自然分娩组的分娩满意度明显高于剖宫产组(P<0.05)。结论相对于剖宫产，自然分娩能降低足月妊娠临产胎儿窘迫的发生率，提高新生儿出生体重及分娩满意度，其作用可能与降低血清CK和CK-MB浓度有关。