引用本文:赵 倩,邵 勇.选择性剖宫产与足月新生儿呼吸系统疾病风险相关性的荟萃分析[J].重庆医科大学学报,2013,(10):1125~1129
选择性剖宫产与足月新生儿呼吸系统疾病风险相关性的荟萃分析
Correlation between elective cesarean section and risk of neonatal respiratory morbidity:a systematic review
DOI:
中文关键词:  足月  选择性剖宫产  阴道分娩  新生儿呼吸系统疾病  荟萃分析
英文关键词:full term  elective cesarean section  vaginal delivery  neonatal respiratory disease  Meta analysis
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作者单位
赵 倩,邵 勇 重庆医科大学附属第一医院妇产科重庆 400016 
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中文摘要:
      目的:评价选择性剖宫产(elective cesarean delivery,ECD)与足月新生儿呼吸系统疾病的发病风险的相关性。方法:用Meta分析方法,综合国内外有关ECD与足月新生儿呼吸系统疾病之间风险关系的观察性研究文献12篇,采用随机效应模型,通过RevMan 5.0软件进行分析评价。结果:与阴道分娩组相比,ECD对足月新生儿呼吸系统疾病的发病率间有相关性[OR(95%CI)=3.43(2.18,5.14),P=0.000];而ECD与非ECD在新生儿呼吸系统发病风险间未见显著相关性[OR(95%CI)=1.97(0.98,3.92),P=0.06]。而对孕周而言,妊娠39周之前分娩的新生儿较39周以后者呼吸系统疾病的发病率明显增高[P=0.000,OR(95%CI)=2.29(1.66,3.16)]。结论:Meta分析表明,ECD可增加新生儿呼吸系统疾病的发生率,而妊娠39周之前施行ECD较39周后新生儿呼吸系统发病率高。
英文摘要:
      Objective:To analyze the correlation between elective cesarean delivery(ECD) and the risk of neonatal respiratory morbidity by Meta analysis. Methods:Twelve observational studies on relationship between ECD and neonatal respiratory morbidity were re-viewed and analyzed in this study. Random effect model and RevMan 5.0 software were adopted to analyze the data. Results:There were statistical differences in respiratory morbidity of full-term neonates between ECD and vaginal delivery(OR(95%CI)=3.43(2.18,5.14),P=0.000). There was no significant correlation in risk for neonatal respiratory disease between ECD and emergency cesarean section(OR(95%CI)=1.97(0.98,3.92),P=0.06). Respiratory morbidity was significantly increased in neonates born after the 39th gestational week than in neonates born before the 39th gestational week(P=0.000,OR(95%CI)=2.29(1.66,3.16)). Conclusions:ECD may associate with the risk of neonatal respiratory morbidity.Respiratory morbidity is higher in neonates born after the 39th gestational week than in neonates born before the 39th gestational week.
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