早产儿氧治疗的临床分析
发布时间：2019-06-21 01:17
【摘要】：目的：了解广西医科大学第一附属医院早产儿氧治疗（简称氧疗）情况，总结该院早产儿氧疗的管理状况，，并对氧疗并发症相关危险因素进行分析。 方法：回顾性分析2010年1月至2011年6月在广西医科大学第一附属医院新生儿病房及NICU住院进行过氧疗的122例早产儿，比较不同性别、胎龄、出生体重、原发病进行氧疗的情况，分析氧疗前的临床表现和血气分析并评估氧疗应用指征，分析氧疗时的吸入氧浓度（FiO_2）、氧疗持续时间及氧疗与并发症的关系，总结氧疗相关的高危因素。 结果：1、2010年1月至2011年6月在广西医科大学第一附属医院新生儿病房及NICU住院的早产儿共394例，其中接受氧疗的早产儿122例，占31.0%。2、出生体重＜1500g的早产儿接受氧疗人数的比例高于出生体重≥1500g的（χ~2=56.699,P＜0.05），胎龄＜34周接受氧疗的比例高于胎龄≥34周（χ~2=98.780,P＜0.05）。3、氧疗前均有不同程度的临床呼吸困难的表现，氧疗前血气分析中动脉血氧分压（PaO_2）以机械通气前最低（45.47±13.52） mmHg。4、早产儿视网膜病（ROP）的筛查率为55.13%。5、ROP组的氧疗时间中位数大于非ROP组的（ROP组:384.75h；非ROP组:130.50h），支气管肺发育不良（BPD）组的氧疗时间中位数明显大于非BPD组的（BPD组：523.00h；非BPD组：81.00h）。 结论：1、早产儿接受氧疗的比例较高，其中以出生体重低和胎龄小的早产儿为著；2、本研究绝大部分早产儿氧疗都是规范的；3、安全用氧意识和ROP筛查意识仍需进一步强化；4、长时间氧疗需注意并发症的发生。
[Abstract]:Objective: to investigate the oxygen therapy (oxygen therapy) of premature infants in the first affiliated Hospital of Guangxi Medical University, summarize the management of oxygen therapy in premature infants, and analyze the risk factors related to the complications of oxygen therapy. Methods: from January 2010 to June 2011, 122 premature infants who underwent oxygen therapy in neonatal ward and NICU of the first affiliated Hospital of Guangxi Medical University were analyzed retrospectively. the sex, gestational age, birth weight and primary incidence of oxygen therapy were compared. The clinical manifestations and blood gas analysis before oxygen therapy were analyzed and the indications of oxygen therapy were evaluated. The inhaled oxygen concentration (FiO_2) during oxygen therapy was analyzed. The duration of oxygen therapy and the relationship between oxygen therapy and complications were summarized, and the high risk factors related to oxygen therapy were summarized. Results: 1. A total of 394 premature infants were hospitalized in neonatal ward and NICU of the first affiliated Hospital of Guangxi Medical University from January 2010 to June 2011. Among them, 122 premature infants (31.0%) received oxygen therapy. 2. The proportion of premature infants with birth weight less than 1500 g was higher than that with birth weight 鈮
本文编号：2503675
[Abstract]:Objective: to investigate the oxygen therapy (oxygen therapy) of premature infants in the first affiliated Hospital of Guangxi Medical University, summarize the management of oxygen therapy in premature infants, and analyze the risk factors related to the complications of oxygen therapy. Methods: from January 2010 to June 2011, 122 premature infants who underwent oxygen therapy in neonatal ward and NICU of the first affiliated Hospital of Guangxi Medical University were analyzed retrospectively. the sex, gestational age, birth weight and primary incidence of oxygen therapy were compared. The clinical manifestations and blood gas analysis before oxygen therapy were analyzed and the indications of oxygen therapy were evaluated. The inhaled oxygen concentration (FiO_2) during oxygen therapy was analyzed. The duration of oxygen therapy and the relationship between oxygen therapy and complications were summarized, and the high risk factors related to oxygen therapy were summarized. Results: 1. A total of 394 premature infants were hospitalized in neonatal ward and NICU of the first affiliated Hospital of Guangxi Medical University from January 2010 to June 2011. Among them, 122 premature infants (31.0%) received oxygen therapy. 2. The proportion of premature infants with birth weight less than 1500 g was higher than that with birth weight 鈮
本文编号：2503675
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