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目的:探讨不同臀位分娩方式对新生儿预后的影响。方法:对102例臀位产妇的临床资料进行回顾性分析,对两组新生儿的体重、死亡率、并发症以及1 min Apgar评分等情况进行比较。结果:剖宫产组新生儿出生体重较阴道分娩组比较,差异有统计学意义(P<0.05);阴道分娩组新生儿死亡率为11.8%,显著高于剖宫产组的0%,两组比较差异有统计学意义(P<0.05);剖宫产组不良反应发生率为3.0%,显著低于阴道分娩组的32.4%,两组比较差异有统计学意义(P<0.05);剖宫产组新生儿Apgar评分为(6.9±2.1)分,显著高于阴道分娩组的(4.3±1.2)分,两组比较差异有统计学意义(P<0.05)。结论:臀位产妇剖宫产可降低新生儿死亡率,降低新生儿并发症,增加Apgar评分的分数,进一步改善和提高新生儿的预后。
Objective: To investigate the effects of different breech delivery modes on the prognosis of newborns. Methods: 102 cases of breech maternal clinical data were retrospectively analyzed, the body weight, mortality, complications and 1 min Apgar score of the two groups of newborns were compared. Results: The neonatal birth weight in cesarean section group was significantly higher than vaginal delivery group (P <0.05). The neonatal mortality rate in vaginal delivery group was 11.8%, significantly higher than 0% in cesarean section group (P <0.05). The incidence of adverse reactions in cesarean section group was 3.0%, which was significantly lower than that in vaginal delivery group (32.4%, P <0.05). The difference between the two groups was statistically significant (P <0.05) The neonatal Apgar score of the uterine group was (6.9 ± 2.1) points, significantly higher than that of the vaginal delivery group (4.3 ± 1.2) points, the difference between the two groups was statistically significant (P <0.05). Conclusion: Cesarean section in breech position can reduce the neonatal mortality rate, reduce neonatal complications, increase the score of Apgar score, further improve and improve the prognosis of neonates.