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唐海燕,宋永红,常青,邓黎,余美佳.非医学指征剖宫产终止妊娠时机与新生儿结局分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(04):361-365.
Tang Haiyan,Song Yonghong,Chang Qing,Deng Li,Yu Meijia.Relationship between time for non-medical indication cesarean section and neonatal outcomes[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(04):361-365.
唐海燕,宋永红,常青,邓黎,余美佳.非医学指征剖宫产终止妊娠时机与新生儿结局分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(04):361-365. DOI:
Tang Haiyan,Song Yonghong,Chang Qing,Deng Li,Yu Meijia.Relationship between time for non-medical indication cesarean section and neonatal outcomes[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(04):361-365. DOI:
目的 分析不同孕周非医学指征剖宫产与新生儿结局的关系,以期为临床选择最佳终止妊娠时机提供参考。 方法 回顾性分析第三军医大学西南医院2007年12月至2013年12月行非医学指征剖宫产2 668例,按终止妊娠时间分为4组,A组:38周>孕周≥37周,253例;B组:39周>孕周≥38周,1 268例;C组:40周>孕周≥39周,815例;D组:41周>孕周≥40周,332例。采用SPSS17.0统计软件对不同孕周非医学指征剖宫产新生儿结局进行统计学分析。 结果 4组中C组新生儿不良事件发生率最低,与C组比较各组新生儿呼吸系统疾病发生率、低血糖发生率、新生儿重症监护病房(neonatal intensive care unit,NICU)入住率差异均有统计学意义(P0.05)。 结论 40周>孕周≥39周为最佳择期剖宫产终止妊娠时机。
Objective To analyze the relationship between the time for non-medical indication cesarean section and neonatal outcomes. Methods Clinical data of 2 668 cases of non-medical indication cesarean section from December 2007 to December 2013 in the Southwest Hospital of Third Military Medical University were retrospectively analyzed. According to the cesarean section time
the cases were divided into 4 groups: group A: 38 weeksgestational age≥37 weeks
253 cases; group B: 39 weeks>gestational age≥38 weeks
1 268 cases; group C: 40 weeksgestational age≥39 weeks
815 cases; and group D: 41 weeks>gestational age≥40 weeks
332 cases. The neonatal outcomes were analyzed with software SPSS 17.0. Results Group C had the lowest incidence of neonatal adverse events among the 4 groups. Comparing group C with other groups
the differences in the incidence of neonatal respiratory system disease
incidence of neonatal hypoglycemia
and rate of neonatal intensive care unit (NICU) hospitalization were statistically significant (P0.05). Conclusion Gestational age between 39 and 40 weeks is the best time for cesarean section in non-medical indication cesarean.
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