极低出生体质量和极早早产与新生儿生存状况的关系

发布时间：2018-03-06 03:00

  本文选题：婴儿　切入点：极低出生体质量　出处：《重庆医学》2017年18期 　论文类型：期刊论文

【摘要】：目的探讨极低出生体质量和极早早产与新生儿的生存状况及相关影响因素。方法选取2012年4月至2016年1月该院收治的极低出生体质量儿(VLBWI)和极早早产儿(VPI)142例,选取同期出生的非VLBWI和非VPI 140例,比较入组新生儿的生存状况及远期预后,根据生存状况将VLBWI与VPI分为死亡组和存活组,对两组患儿的临床资料进行单因素和多因素Logistic回归分析。结果出生体质量小于1 500、1 500~2 500、2 500g新生儿的预后不良发生率比较,差异有统计学意义(P0.05)。胎龄小于32周、32~37周、≥37周新生儿的预后不良发生率比较,差异有统计学意义(P0.05)。死亡组新生儿的胎龄、出生体质量和产前使用地塞米松的比例明显低于存活组,母亲年龄、窒息、胎粪吸入、妊娠高血压综合征和机械通气比例明显高于存活组,两组比较差异有统计学意义(P0.05)。≤28周胎龄、≤1 000g出生体质量、窒息是影响VLBWI与VPI生存状况的独立危险因素(P0.05)。结论 VLBWI与VPI的生存状况及远期预后不佳,易发生智力和运动障碍。
[Abstract]:Objective to investigate the survival status and related factors of very low birth weight, very early birth and newborns. Methods very low birth weight infants (VLBWI) and very early premature infants (VPI) were treated from April 2012 to January 2016 in our hospital. One hundred and forty cases of non VLBWI and non VPI were selected to compare the survival status and long term prognosis of newborns in the same period. According to the survival conditions, VLBWI and VPI were divided into death group and survival group. Univariate and multivariate Logistic regression analysis was carried out on the clinical data of the two groups. Results the incidence of poor prognosis of newborns with birth weight less than 1 500 / 1 500 / 2 500 g was significantly higher than that of control group (P 0.05), and the gestational age was less than 32 weeks or 37 weeks. The incidence of poor prognosis of newborns 鈮，

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