2023年4月第30卷第4期不同羊水污染程度及分娩方式对新生儿结局的影响宋艳，翁玲玲，冯秀梅*（郑州市妇幼保健院产科，河南郑州450012）【摘要】目的探讨不同羊水污染程度及分娩方式对新生儿结局的影响。方法140例羊水污染产妇按照羊水污染程度的不同分为Ⅰ~Ⅱ度组和Ⅲ度组，比较不同羊水污染程度及分娩方式的新生儿结局。结果Ⅲ度组的阴道分娩率低于Ⅰ~Ⅱ度组，产钳助产率及剖宫产率均高于Ⅰ~Ⅱ度组（P<0.05）。Ⅲ度组与Ⅰ~Ⅱ度组的新生儿Apgar评分及窒息、吸入性肺炎、缺血缺氧性脑病发生率比较，差异无统计学意义（P>0.05）。不同分娩方式的新生儿Apgar评分及不良结局发生率比较，差异无统计学意义（P>0.05）。结论羊水污染程度及分娩方式对新生儿不良结局无直接影响，但羊水污染程度会影响产妇的分娩方式。【关键词】羊水污染；分娩方式；新生儿结局中图分类号：R714.4文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.04.0469ImpactofDifferentAmnioticFluidContaminationDegreeandDeliveryModesonNeonatalOutcomesSONGYan,WENGLingling,FENGXiumei*(DepartmentofObstetrics,ZhengzhouMaternalandChildHealthHospital,Zhengzhou450012,China;*Correspondingauthor:FENGXiumei,E-mail:upegoo@163.com)[Abstract]ObjectiveToexploretheimpactofdifferentamnioticfluidcontaminationdegreeanddeliverymodesonneonataloutcomes.Methods140pregnantwomenwithamnioticfluidcontaminationweredividedintoⅠ~ⅡdegreegroupandⅢdegreegroup.Theneonataloutcomesofdifferentamnioticfluidcontaminationdegreeanddeliverymodeswerecompared.ResultsThevaginaldeliveryrateintheⅢdegreegroupwaslowerthanthatintheⅠ~Ⅱdegreegroup,andtheforcepsdeliveryrateandcesareansectionratewerehigherthanthoseintheⅠ~Ⅱdegreegroup(P<0.05).NosignificantdifferencewasfoundintheneonatalApgarscoreandtheincidencesofasphyxia,aspirationpneumonia,andischemichypoxicencephalopathybetweentheⅢdegreegroupandtheⅠ~Ⅱdegreegroup(P>0.05).NosignificantdifferencewasfoundintheneonatalApgarscoreandtheincidencesofadverseoutcomesamongnewbornswithdifferentdeliverymodes(P>0.05).ConclusionsAmnioticfluidcontaminationdegreeanddeliverymodehavenodirectimpactontheadverseoutcomesofnewborns,buttheamnioticfluidcontaminationdegreecanaffectthedeliv...
