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目的分析分娩方式对新生儿1min Apgar评分的影响。方法对绩溪县妇幼保健所2005年1月-2006年12月住院分娩的691例新生儿,采用流行病学研究方法比较分析不同分娩方式新生儿1min Apgar评分的情况。结果绩溪县妇幼保健所二年间剖宫产率为63.53%。在剖宫产、阴道自产和阴道助产三组间,新生儿1min Apgar评分平均得分为:9.1526±0.8477、9.0819±0.9431和7.4500±2.114(F检验组间F=31.5220,P=0.0000,差异有非常显著性意义)。评分≤7者比例,分别为:4.56%、5.95%和35.00%(χ2=38.7689,P=0.0000,差异有非常显著性意义)。阴道助产是影响新生儿1min Apgar评分的危险因素。结论在妇产科临床实践工作中,对产妇要进行严密的产程监护,及时发现难产指征,及早行剖宫产,以提高新生儿存活质量。
Objective To analyze the influence of mode of delivery on Apgar score at 1 minute in neonates. Methods A total of 691 newborns hospitalized in Maternal and Child Health Hospital of Jixi from January 2005 to December 2006 were enrolled in this study. Epidemiological study was used to analyze Apgar scores at 1 minute in different delivery modes. Results Cesarean section rate of maternal and child health clinics in Jixi County was 63.53% in two years. The average score of Apgar score at 1 minute after cesarean section, vaginal self-production and vaginal delivery was 9.1526 ± 0.8477,9.0819 ± 0.9431 and 7.4500 ± 2.114 (F = 31.5220, F = 0.0000, F = There is a very significant significance). The scores of ≤7 were respectively 4.56%, 5.95% and 35.00% (χ2 = 38.7689, P = 0.0000, the difference was significant). Vaginal delivery is a risk factor for neonatal 1-minute Apgar scores. Conclusion In the practice of obstetrics and gynecology, the maternity should be closely monitored by labor, timely detection of dystocia indications, and cesarean section as early as possible to improve the quality of life of neonates.