›› 2015, Vol. 36 ›› Issue (1): 24-24.

• 论文 • 上一篇    下一篇

早产儿并发症临床分析

贾系群;刘翠青;夏耀方;刘淑华   

  1. 河北省儿童医院新生儿科,河北 石家庄,050031
  • 发布日期:2015-01-25

GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun

JIA Xi-qun;LIU Cui-qing;XIA Yao-fang;LIU Shu-hua   

  • Published:2015-01-25

摘要: 目的:观察早产儿临床常见并发症,分析早产儿胎龄、出生体质量以及孕母高危因素与并发症的关系,为临床诊治和预防提供依据。方法选择早产儿137例,回顾性分析其胎龄、出生体质量以及孕母高危因素与并发症关系。结果主要并发症有肺炎、高胆红素血症、呼吸暂停、呼吸窘迫综合征、窒息、颅内出血、贫血、低血糖、败血症、胆汁淤积、支气管肺发育不良、视网膜病变、坏死性小肠结肠炎等。胎龄28~32周和出生体质量<1500 g早产儿并发症发生率高于胎龄>32~37周及出生体质量≥1500 g早产儿(P<0.05);孕母有高危因素组并发症发生率高于无高危因素组(P<0.01)。结论胎龄越小、出生体质量越低,并发症和病死率越高,高危因素影响早产儿并发症发生,应加强孕期保健,早期干预,提高早产儿生存质量,降低早产儿病死率。

关键词: 婴儿, 早产, 并发症, 危险因素

Abstract: Objective To discuss the major clinical complications of premature infants by analyzing the relationship of gestational age,birth weight,high risk pregnancy factors and complications,for clinical diagnosis,treatment and prevention.Methods The medical data of 1 3 7 premature infants admitted to Children's Hospital of Hebei Province were analyzed retrospectively.The relationship of gestational age,birth body mass and high pregnancy risks and complications were analyzed.Results The main complications were pneumonia,j aundice,apnea, respiratory distress syndrome,asphyxia,intracranial hemorrhage,anemia,hypoglycemia,sepsis, cholestasis,bronchial pulmonary dysplasia,retinopathy of prematurity,necrotizing enterocolitis and others.The complications in the group of gestation 28-32 weeks and in the group of birth body mass<1 500 g were significantly higher than those in the group of gestation 32-37 weeks and in the group of birth body mass≥1 500 g (P<0.05 ).The complications in the group of pregnant mothers with high pregnancy risks were higher than those in the group without risk factors (P<0.01).Conclusion When the gestational age was smaller and birth body mass was lower,the mortality and the complications were higher.Some high risk pregnancy factors affect the complications of premature infants.Perinatal health care should be strengthened to improve the survival quality of premature infants and reduce the fatality rate.

Key words: infants, premature, complication, risk factors

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