| 王晨光,陈 悦,曾雅畅,陈育慧,唐海连.自然剖宫产对母婴近期及远期的影响：一种新型剖宫产术式的临床评价[J].,2024,(22):4385-4388 |
| 自然剖宫产对母婴近期及远期的影响：一种新型剖宫产术式的临床评价 |
| Short-Term and Long-Term Effects of Natural Cesarean Section on Mothers and Infants: Clinical Evaluation of A New Type of Cesarean Section |
| 投稿时间：2024-04-28 修订日期：2024-05-22 |
| DOI：10.13241/j.cnki.pmb.2024.22.056 |
| 中文关键词: 自然剖宫产 母乳喂养 疼痛 心理状态 生命体征 肠道菌群 |
| 英文关键词: Natural cesarean section Breastfeeding Pain Psychological status Vital sign Intestinal flora |
| 基金项目:广西医疗卫生适宜技术开发与推广应用项目（S2021112）；广西卫生健康委员会自筹经费科研课题（Z-A20220513、20220511、20220519） |
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| 中文摘要: |
| 摘要 目的：探讨自然剖宫产在剖宫产产妇中的应用效果及其对产妇及新生儿的影响。方法：选取行剖宫产的140例产妇，按照新生儿头位及术式分为研究组（头位，自然剖宫产）、常规组（非头位，常规剖宫产），各70例。另选取行阴道分娩的70例产妇纳入对照组。对比三组母乳喂养情况（母乳分泌时间、母乳喂养成功率）、疼痛与心理状态[视觉模拟量表（VAS）、爱丁堡产后抑郁量表（EPDS）、领悟社会支持量表（PSSS）]评分、生命体征、肠道菌群数量。结果：研究组、对照组的母乳分泌时间短于常规组，母乳喂养成功率高于常规组（P＜0.05）。三组产后42 d的VAS评分、EPDS评分均降低，且研究组、对照组的VAS评分、EPDS评分均低于常规组（P＜0.05）；三组产后42 d的PSSS评分均升高，且研究组、对照组的PSSS评分高于常规组（P＜0.05）。研究组、对照组新生儿出生后60 min、出生后120 min体温均高于常规组，心率均低于常规组（P＜0.05）。研究组、对照组新生儿出生后3个月的双歧杆菌、乳酸杆菌数量高于常规组，大肠杆菌、肠球菌数量低于常规组（P＜0.05）。结论：相较于传统剖宫产，自然剖宫产可获得接近自然阴道分娩的效果，可改善产后疼痛及不良心理状态，提高母乳喂养率，并且有助于改善新生儿的肠道菌群和生命体征。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the application effect of natural cesarean section in cesarean section parturients and its influence on parturients and newborns. Methods: 140 parturients undergoing elective cesarean section were selected, and patients were divided into study group (head position, natural cesarean section) and routine group (non-head position, routine cesarean section) according to neonatal head position and operation method, with 70 cases in each group. 70 parturients who underwent elective vaginal delivery were selected as control group. The breastfeeding status (breast milk secretion time, breastfeeding success rate), intraoperative blood loss, pain and psychological status [visual analogue scale (VAS), Edinburgh postnatal depression scale (EPDS), perceived social support scale (PSSS)] scores, vital signs and intestinal flora in three groups were compared. Results: The breast milk secretion time in study group and control group was shorter than that in routine group, and the success rate of breastfeeding was higher than that in routine group(P<0.05). The VAS score and EPDS score in three groups decreased 42 d after delivery, and the VAS score and EPDS score in study group and control group were lower than those in routine group (P<0.05); the PSSS scores in three groups increased 42 d after delivery, and the PSSS scores in study group and control group were higher than those in routine group (P<0.05). The body temperature of newborns in study group and control group were higher than those in routine group at 60 min after birth and 120 min after birth, and the heart rate was lower than that in routine group(P<0.05). The number of bifidobacteria and lactobacilli in newborns in study group and control group was higher than that in routine group 3 months after birth, and the number of escherichia coli and enterococcus was lower than that in routine group (P<0.05). Conclusion: Compared with traditional cesarean section, natural cesarean section can obtain the effect close to natural vaginal delivery, which can improve postpartum pain and adverse psychological state, increase breastfeeding rate, and help improve the intestinal flora and vital signs of newborns. |
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