围产儿宫内转运与新生儿转运对比分析

目的:通过对比围产儿宫内转运与新生儿转运方式,分析围产儿的结局,探讨对围产儿安全最有利的转运方式。方法:回顾性收集广州市妇女儿童医疗中心2011年1月～2012年1月间可获得完整数据资料的宫内转运孕妇所生新生儿中转入新生儿科的204例与同期由外院转入的出生时间在3日内的新生儿530例。比较两种方式新生儿的出生时胎龄、出生体重、分娩方式、并发症、总住院天数、新生儿结局等,探讨对围产儿安全最有利的转运方式。结果:①宫内转运组平均胎龄和平均出生体重均小于新生儿转运组(P<0.05)。宫内转运组顺产率及足月产率低于新儿转运组,剖宫产率及早产率高于新生儿转运组(P<0.05)。②宫内转运组新生儿窒息(1.96%vs33.77%)、缺血缺氧性脑病(0.5%vs23.58%)、新生儿肺炎(23.53%vs34.33%)的患病率显著低于新生儿转运组(P<0.05)。③宫内转运组肺透明膜病及低血糖的发生率比新生儿转运组高(P<0.05)。④宫内转运组较新生儿转运组治愈率高、死亡率低、住院时间短(P<0.05)。结论:围产儿宫内转运结局优于新生儿出生后转运,应建立和完善围产儿转运体系。

Comparative analysis of perinatal intrauterine transport and neonatal transport

Objective:To compare perinatal intrauterine transport and neonatal transport and analyze the results of different modes to the perinatal infants,and to study the most favorable transport mode for perinatal infants.Methods:Cases retrospectively were collected from Guangzhou Women and Children Medical Center from January 2011 to January 2012 including intrauterine transporter into neonatology newborns 204 cases and newborns transferred from other hospitals during the same period 530 cases.Gestational age at birth,birth weight,mode of delivery,complications,days in hospital and outcomes of newborns in two groups were compared.Results:The average gestational age,mean birth weight,the rate of eutocia full-term delivery and mortality,prevalence of neonatal asphyxia,hypoxic-ischemic encephalopathy,neonatal pneumonia and length of stay in hospital of the intrauterine transport group were less than those of the neonatal transport group.While the rate of cesarean section,premature birth,recovery and the incidence of hypoglycemia,hyaline membrane disease were higher than those of neonatal transport group.There were significant differences.Conclusion:Intrauterine transport is better than neonatal transport for perinatal infants.A perfect perinatal infants transport system should be established.