标题：足月选择性剖宫产时机与新生儿肺炎的相关性分析

      作者：蓝洁珍，刘娇兰
    （东莞市长安医院妇产科，广东 东莞 523843）

      卷次： 2013年24卷7期

      【摘要】 目的 探讨足月剖宫产的时机对新生儿肺炎发病率的影响。方法 采用自编问卷收集2010年11
月至2011年10月在我院住院的196例足月选择性剖宫产孕妇的临床资料。应用SPSS16.0统计软件分析足月选
择性剖宫产时机与新生儿肺炎的相关性。结果 37+周组、38+周组和39+周组新生儿肺炎发病率分别为30.77%、
14.29%、2.5%，肺炎发病率在三组孕周之间和两两孕周之间比较差异有统计学意义(P<0.05)，且孕周与肺炎间存
在负相关性(B<0，OR<1)。结论 足月剖宫产术选择在孕期39周后能降低新生儿肺炎的发病率。

      【关键词】 剖宫产；孕周；新生儿肺炎

      【中图分类号】 R719.8 【文献标识码】 A 【文章编号】 1003—6350（2013）07—0987—02


Relationship between the choice of selective cesarean section time and neonatal pneumonia.
LAN Jie-zhen, LIU
Jiao-lan. Department of Obsterics and Gynecology, Dongguan Chang'an Hospital, Dongguan 523843, Guangdong, CHINA

【Abstract】 Objective To investigate the relationship between the choice of selective cesarean section time and
neonatal pneumonia. Methods The clinical data of 196 women in normal full term pregnancy undergoing selective cesar-
ean section who were treated in our hospital from November 2010 to October 2011 were collected by the self-made general
data questionnaire. The relationship between the choice of selective cesarean section time and neonatal pneumonia was
analyzed by SPSS16.0 statistical software. Results The incidence of neonatal pneumonia was 30.77% in 37 + weeks
group, 14.29% in 38+ weeks group, 2.50% in 39+ weeks group, with statistically significant difference between any two
groups (P<0.05). Gestational weeks and neonatal pneumonia was negatively correlated (B<0, OR<1). Conclusion Cesar-
ean section after 39+ weeks of pregnancy can significantly reduce the incidence of neonatal pneumonia.