目的:探讨不同臀位分娩方式对新生儿预后的影响.方法:回顾性分析自2007年1月至2011年12月期间在我院住院分娩的98例臀位产妇的临床资料,其中35例阴道分娩(臀位阴道分娩组),63例剖宫产(臀位剖宫产组),观察比较两组产妇新生儿死亡及新生儿窒息、吸入性肺炎等并发症发生情况,同时对两组新生儿进行Apgar评分并进行比较.结果:63例臀位剖宫产组新生儿无1例死亡,35例臀位阴道分娩组新生儿3例(8.57%)死亡,两组新生儿死亡率差异具有统计学意义(P<0.05).63例臀位剖宫产组新生儿,2例(3.18%)发生并发症,臀位阴道分娩组8例(22.86%)发生并发症,两组差异具有统计学意义(P<0.05).臀位剖宫产组新生儿Apgar评分为(7.2±1.8)分,臀位阴道分娩组为(4.5±1.3)分,前者显著高于后者,差异有统计学意义(P<0.05).结论:臀位分娩时选择剖宫产可降低新生儿并发症的发生,降低新生儿死亡率,提高Apgar评分,在臀位分娩时宜适当放宽剖宫产手术指征,对于改善新生儿预后有着重要意义.%Objective: To observe the prognosis of different breech delivery modes on infants. Method: Retrospective analysis of 98 cases of breech delivery clinical data in our hospital from January 2007 to December 2011, including 35 cases of vaginal delivery ( vaginal delivery group ), 63 cases of cesarean section ( cesarean section group ), to observe the neonatal deaths, neonatal asphyxia, aspiration pneumonia and Apgar scoring situation of neonates of two groups. Result: There is no neonatal deaths in the breech cesarean section group on 63 cases, there're 3 cases( 8. 57% ) neonatal deaths in vaginal delivery group, the two groups have significant P<0. 05 ). There're 2 cases( 3. 18% ) neonatal complications in cesarean section group, 8 cases( 22. 86% ) neonatal complications in vaginal delivery group,the two groups have significant P<0. 05 ). The Apgar score Breech caesarean section group and breech vaginal delivery group were ( 7. 2 ± 1. 8 ) and ( 4. 5 ± 1.3 ),there's statiscal significant P<0. 05 ). Conclusion: Cesarean section to treatment breech could reduce neonatal complications and neonatal deaths, improve the Apgar score. Relaxing the surgical indication of cesarean section to improve neonatal prognosis has an important significance.
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