欢迎来到天天文库
浏览记录
ID:54588164
大小:348.22 KB
页数:5页
时间:2020-05-02
《不同胎龄新生儿呼吸窘迫综合征高危因素及临床分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·644·临床儿科杂志第32卷第7期2014年7月JClinPediatrVo1.32No.7Ju1.2014doi:10.3969/j.issn.1000—3606.2014.07.012·论著·不同胎龄新生儿呼吸窘迫综合征高危因素及临床分析代苗英,李少兵胡金绘查丽。武荣1.淮安市妇幼保健院新生儿医学中心(安徽淮安223002);2.浙江省丽水市中心医院儿科(浙江丽水323000);3.安徽医科大学基础医学院(安徽合肥230032)摘要:目的比较不同胎龄新生儿呼吸窘迫综合征(RDS)的高危因素、并发症、治疗及预后情况。方法选择2
2、012年8月至2013年7月收治人院的156例RDS新生儿,依据胎龄分为早期早产儿组(出生胎龄<34周)42例,晚期早产儿组(出生胎龄34~36周)52例,足月儿组(出生胎龄≥37周)62例。回顾性分析RDS新生儿的基本情况、围生期高危因素、临床特点、治疗及预后。结果156例RDS新生儿中,男女比例2.25:1;3组新生儿均以男性比例为高,但组间差异无统计学意义(P=0.923);发病时间和入院年龄随胎龄增加均有递增趋势,组间差异有统计学意义(尸均3、期早产儿最多,晚期早产儿次之t足月儿剖宫产率最高;早期早产儿不明原因早产概率高于晚期早产儿,差异均有统计学意义(P均<0.05)。3组新生儿中,足月儿的肺表面活性物质(PS)应用率最低,早期早产儿X线分级Ⅱ级以上的比例最高,吸氧和住院时间最长,差异均有统计学意义(P<0.05)。早期早产儿合并肺部感染、颅内出血、支气管肺发育不良的概率均为最高,足月儿合并气胸的比例最高,差异均有统计学意义均4、应均存在差异,因此在诊断和治疗的时候需考虑胎龄因素。对于足月儿要严格掌握择期剖宫产的指证,减少RDS发生。关键词:新生儿呼吸窘迫综合征;胎龄,高危因素;并发症ThehighriskfactorsandcfinicalanalysisofrespiratorydistresssyndromeinneonatesatdifferentgestationalageDA1Miaoying2LIShaobings.HUJinhuil.CHALi1WURongl{1.NeonatalMedicalCenter,HuaianMaternitya5、ndChildHealthCareHospital,Huai'an223002,Jiangsu,China,"2.DepartmentofPediatrics,ZhejiangLishuiCentralHospital,Lishui323000,Zhejiang,China;3.BasicMedicalCollege,AnhuiMedicalUniversity,Hefei230032,Anhui,China)Abstract:0bjectiveTocomparethehighriskfactors,complications,t6、reatmentandprognosisofrespiratorydistresssyndromefNRDS)inneonatesatdiferentgestationalage(GA).MethodsBetweenAugust2012andJuly2013,156neonateswithRDSwereselectedanddistributedinto3groups,42earlypreterm(GA<34weeks),52latepreterm(GA35to36weeks),and62intermgroup(GA≥37week7、s).Retrospectivelyanalysiswasperformedforhighriskfactors,complications,treatmentandprognosisofthethreegroups.ResultsIn156neonateswithRDS.themaleandfemaleproportionwas2.25:1.Allgroupshadmoremales,butthegenderdiferencehasnostatisticalsignificanceinthreegroups(pO.923).Th8、eonsettimeofRDSandthehospitalizationtimebothshowalincreasingtrendofstatisticalsignificance'<0.05).Comparingthediferenceofhig
3、期早产儿最多,晚期早产儿次之t足月儿剖宫产率最高;早期早产儿不明原因早产概率高于晚期早产儿,差异均有统计学意义(P均<0.05)。3组新生儿中,足月儿的肺表面活性物质(PS)应用率最低,早期早产儿X线分级Ⅱ级以上的比例最高,吸氧和住院时间最长,差异均有统计学意义(P<0.05)。早期早产儿合并肺部感染、颅内出血、支气管肺发育不良的概率均为最高,足月儿合并气胸的比例最高,差异均有统计学意义均4、应均存在差异,因此在诊断和治疗的时候需考虑胎龄因素。对于足月儿要严格掌握择期剖宫产的指证,减少RDS发生。关键词:新生儿呼吸窘迫综合征;胎龄,高危因素;并发症ThehighriskfactorsandcfinicalanalysisofrespiratorydistresssyndromeinneonatesatdifferentgestationalageDA1Miaoying2LIShaobings.HUJinhuil.CHALi1WURongl{1.NeonatalMedicalCenter,HuaianMaternitya5、ndChildHealthCareHospital,Huai'an223002,Jiangsu,China,"2.DepartmentofPediatrics,ZhejiangLishuiCentralHospital,Lishui323000,Zhejiang,China;3.BasicMedicalCollege,AnhuiMedicalUniversity,Hefei230032,Anhui,China)Abstract:0bjectiveTocomparethehighriskfactors,complications,t6、reatmentandprognosisofrespiratorydistresssyndromefNRDS)inneonatesatdiferentgestationalage(GA).MethodsBetweenAugust2012andJuly2013,156neonateswithRDSwereselectedanddistributedinto3groups,42earlypreterm(GA<34weeks),52latepreterm(GA35to36weeks),and62intermgroup(GA≥37week7、s).Retrospectivelyanalysiswasperformedforhighriskfactors,complications,treatmentandprognosisofthethreegroups.ResultsIn156neonateswithRDS.themaleandfemaleproportionwas2.25:1.Allgroupshadmoremales,butthegenderdiferencehasnostatisticalsignificanceinthreegroups(pO.923).Th8、eonsettimeofRDSandthehospitalizationtimebothshowalincreasingtrendofstatisticalsignificance'<0.05).Comparingthediferenceofhig
4、应均存在差异,因此在诊断和治疗的时候需考虑胎龄因素。对于足月儿要严格掌握择期剖宫产的指证,减少RDS发生。关键词:新生儿呼吸窘迫综合征;胎龄,高危因素;并发症ThehighriskfactorsandcfinicalanalysisofrespiratorydistresssyndromeinneonatesatdifferentgestationalageDA1Miaoying2LIShaobings.HUJinhuil.CHALi1WURongl{1.NeonatalMedicalCenter,HuaianMaternitya
5、ndChildHealthCareHospital,Huai'an223002,Jiangsu,China,"2.DepartmentofPediatrics,ZhejiangLishuiCentralHospital,Lishui323000,Zhejiang,China;3.BasicMedicalCollege,AnhuiMedicalUniversity,Hefei230032,Anhui,China)Abstract:0bjectiveTocomparethehighriskfactors,complications,t
6、reatmentandprognosisofrespiratorydistresssyndromefNRDS)inneonatesatdiferentgestationalage(GA).MethodsBetweenAugust2012andJuly2013,156neonateswithRDSwereselectedanddistributedinto3groups,42earlypreterm(GA<34weeks),52latepreterm(GA35to36weeks),and62intermgroup(GA≥37week
7、s).Retrospectivelyanalysiswasperformedforhighriskfactors,complications,treatmentandprognosisofthethreegroups.ResultsIn156neonateswithRDS.themaleandfemaleproportionwas2.25:1.Allgroupshadmoremales,butthegenderdiferencehasnostatisticalsignificanceinthreegroups(pO.923).Th
8、eonsettimeofRDSandthehospitalizationtimebothshowalincreasingtrendofstatisticalsignificance'<0.05).Comparingthediferenceofhig
此文档下载收益归作者所有