新生儿窒息与其母亲孕期体质的相关性研究

发布时间：2019-01-08 08:52

【摘要】：目的:探讨新生儿窒息与母亲孕期体质的关系,为针对性调理母亲孕期体质从而为预防新生儿窒息提供新思路。对象与方法:1.研究对象及分组选择2016年2月至2016年12月就诊于南京军区福州总医院儿科新生儿重症监护室的符合纳入标准的100例窒息新生儿及其母亲作为新生儿窒息组(窒息组),另选择同期出生的100例健康新生儿及其母亲作为健康足月儿组(对照组)。2.方法按照《中医体质分类与判定表》标准,进行横断面抽样调查方法,对纳入研究的母亲怀孕4个月至分娩时身体实际情况进行体质调查。分析新生儿窒息组与健康足月儿组的母亲孕期中医体质差异情况。结果:1.根据偏颇体质标准分最大值法判定的中医体质分型,新生儿窒息组分别是平和质17例、气虚质6例、阳虚质29例、阴虚质4例、痰湿质11例、湿热质7例、血瘀质2例、气郁质24例、特禀质0例;健康足月儿组分别是平和质53例、气虚质3例、阳虚质7例、阴虚质13例、痰湿质3例、湿热质11例、血瘀质3例、气郁质5例、特禀质2例;2.新生儿窒息组偏颇体质类型出现频次,最多为阳虚质29例,其次为气郁质24例;健康足月儿组偏颇体质类型出现频次,最多为阴虚质13例,其次为湿热质11例。3.两组间体质构成比有差异(P0.001),其中新生儿窒息组阳虚质、气郁质比例明显高于健康足月儿组;健康足月儿组平和质比例明显高于新生儿窒息组。结论:1、新生儿窒息组母亲孕期体质主要以偏颇体质为主,健康足月儿组母亲孕期体质以平和质为主;两组间母亲孕期体质构成比有差异(P0.001)。2、新生儿窒息组母亲孕期偏颇体质以阳虚质、气郁质比较多见。
[Abstract]:Objective: to explore the relationship between neonatal asphyxia and maternal pregnancy constitution so as to provide a new way to prevent neonatal asphyxia. Object and method: 1. The study participants and groups selected 100 asphyxia neonates and their mothers who were admitted to the pediatric neonatal intensive care unit of Fuzhou General Hospital of Nanjing military region from February 2016 to December 2016 as asphyxia group (asphyxia group). Another 100 healthy newborns and their mothers were selected as healthy term infants group (control group). Methods according to the criteria of TCM constitution classification and judgment, a cross-sectional sampling survey was carried out to investigate the physical condition of the mothers who were involved in the study from 4 months of pregnancy to delivery. To analyze the difference of TCM constitution between neonates with asphyxia and healthy term infants during pregnancy. Results: 1. According to the classification of TCM constitution determined by the method of maximum partial constitution standard score, the neonatal asphyxia group was composed of 17 cases of calmness, 6 cases of qi deficiency, 29 cases of yang deficiency, 4 cases of yin deficiency, 11 cases of phlegm and dampness, 7 cases of dampness and heat, 2 cases of blood stasis. There were 24 cases of qi stagnation and 0 cases of idiopathic substance. In the healthy term group, there were 53 cases of calmness, 3 cases of qi deficiency, 7 cases of yang deficiency, 13 cases of yin deficiency, 3 cases of phlegm and dampness, 11 cases of dampness and heat, 3 cases of blood stasis, 5 cases of qi stagnation, 2 cases of intrinsic property. In neonatal asphyxia group, 29 cases of yang deficiency, 24 cases of Qi stagnation, 13 cases of yin deficiency and 11 cases of dampness and heat were found in healthy term group. There was significant difference in constitution ratio between the two groups (P0.001), in which the proportion of yang deficiency and qi stagnation in neonatal asphyxia group was significantly higher than that in healthy full-term infant group, and that in healthy term infant group was significantly higher than that in neonatal asphyxia group. Conclusion: 1. The maternal physical constitution of neonatal asphyxia group was mainly biased during pregnancy, and that of healthy full-term infant group was mainly of placid quality during pregnancy. There was significant difference between the two groups (P0.001). 2. In the neonatal asphyxia group, the mothers' physical bias during pregnancy was yang deficiency and qi stagnation.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R722.12

【参考文献】