呼吸窘迫综合症早产儿宫外发育迟缓的临床观察

发布时间：2018-05-09 03:03

本文选题：新生儿呼吸窘迫综合症 + 宫外发育迟缓　；参考：《青岛大学》2013年硕士论文

【摘要】：目的探讨新生儿呼吸窘迫综合征(respiratory distress syndrome,RDS)早产儿宫外发育迟缓(extrauterine growth retardation,EUGR)的发生情况,并分析其相关危险因素,探讨预防对策,降低其发生率,改善营养状况。方法收集2011年1月1日-2012年10月31日NICU的60例适于胎龄儿的RDS早产儿的临床资料,根据出院时体质量与矫正胎龄的关系,分为EUGR组与非EUGR组,应用SPSS17.0软件进行数据分析,比较两组基本情况、围产期因素、营养摄入情况、治疗措施及并发症方面的差异；并对相关因素进行Logistc回归分析,筛选出RDS早产儿宫外发育迟缓的高危因素。结果RDS早产儿中适于胎龄儿的宫外发育迟缓发生率为56.67%(34/60)。EUGR组与非EUGR组出生体质量、最小体质量、多胎妊娠、分娩方式差异有统计学意义(P0.05),在胎龄、营养摄入情况、治疗措施及并发症方面差异无统计学意义(P0.05)。Logistc回归分析：恢复出生体重时间、多胎妊娠为危险因素,产前激素应用为保护性因素。结论RDS早产儿中适于胎龄儿的EUGR与多胎妊娠、剖宫产、出生体质量低、最小体质量有关,恢复出生体重时间及多胎妊娠为EUGR危险因素。
[Abstract]:Objective to investigate the incidence of extrauterine growth retard (EUGRG) in premature infants with distress syndrome, analyze its risk factors, and explore preventive measures to reduce its incidence and improve nutritional status. Methods the clinical data of 60 premature infants with RDS from January 1, 2011 to October 31, 2012 in NICU were collected. According to the relationship between body mass and corrected gestational age at discharge, they were divided into EUGR group and non EUGR group. The data were analyzed by SPSS17.0 software. The factors of perinatal period, nutritional intake, therapeutic measures and complications were compared between the two groups, and the risk factors of extrauterine growth retardation of premature infants with RDS were screened by Logistc regression analysis. Results the incidences of extrauterine growth retardation in RDS premature infants were as follows: birth weight, minimum body mass, multiple pregnancy and delivery mode of 56.67%(34/60).EUGR group and non-EUGR group were significantly different (P 0.05). There was no significant difference in treatment measures and complications (P 0.05). Logistc regression analysis showed that the time of recovery of birth weight, multiple pregnancy was the risk factor, and prenatal hormone was the protective factor. Conclusion EUGR in RDS premature infants is associated with multiple pregnancy, cesarean section, low birth weight and minimum body mass. The time of recovery of birth weight and multiple pregnancy are risk factors of EUGR.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R722.6

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