妊高征对极低出生体重早产儿并发症的影响

发布时间：2018-09-12 06:13

【摘要】：目的研究妊娠高血压综合征(妊高征)对极低出生体重早产儿并发症的影响。方法收集极低出生体重早产儿作为研究对象,根据母亲是否患有妊高征分为两组,比较两组患儿主要并发症发生率及住院时间。结果 (1)两组患儿间胎龄、出生体重、性别、母亲糖尿病发生率、产前激素使用率的差异均无统计学意义,妊高征组SGA发生率明显高于非妊高征组。(2)妊高征组支气管肺发育不良(BPD)发生率明显低于非妊高征组,而早产儿呼吸暂停(AOP)、坏死性小肠结肠炎(NEC)、早产儿视网膜病变(ROP)、早产儿颅内出血-脑白质病变(IVH-PVL)发生率及住院天数的差异均无统计学意义。(3)两组间NRDS发生率无差异,但妊高征组NRDS患儿PS使用率明显低于非妊高征组。结论妊高征可减轻早产儿呼吸系统并发症,降低PS使用率,减少BPD发生率。
[Abstract]:Objective to study the effect of pregnancy-induced hypertension syndrome (PIH) on complications of very low birth weight premature infants. Methods Prematures with very low birth weight were divided into two groups according to whether their mothers had PIH. The incidence of major complications and hospitalization time were compared between the two groups. Results (1) there was no significant difference in gestational age, birth weight, sex, incidence of maternal diabetes mellitus and prenatal hormone utilization rate between the two groups. The incidence of SGA in PIH group was significantly higher than that in PIH group. (2) the incidence of (BPD) in PIH group was significantly lower than that in PIH group. However, there was no significant difference in the incidence of intracranial hemorrhage and leukoencephalopathy (IVH-PVL) and length of stay in premature infants with apnea (AOP), necrotizing enterocolitis (NEC), retinopathy of (NEC), preterm infants (ROP), preterm infants) and duration of hospitalization. (3) there was no significant difference in the incidence of NRDS between the two groups. However, the utilization rate of PS in NRDS group was significantly lower than that in non PIH group. Conclusion Pregnancy-induced hypertension can reduce respiratory complications, PS usage and BPD incidence in premature infants.
【作者单位】：北京大学深圳医院新生儿科;
【分类号】：R722.6

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