摘要
【目的】分析不同胎龄及出生体质量双胎早产儿并发症发生率及死亡原因。【方法】将2010年7月至2012年7月在本院新生儿科住院的224例双胎早产儿，根据胎龄分为≤32周，～34周，～37周组，根据出生体质量分为＜1500 g，～2500 g，≥2500 g组。比较各组患儿并发症的发生率及病死率。【结果】贫血、呼吸衰竭、早产儿视网膜病变、新生儿呼吸窘迫综合征、支气管肺发育不良在不同胎龄及出生体质量双胎早产儿组间比较差异有统计学意义（P＜0．05），且胎龄越小，出生体质量越低，发生率越高；低血糖在不同胎龄及出生体质量双胎早产儿组间比较差异有统计学意义（P＜0．05），且出生体质量越低，发生率越高；呼吸暂停在不同胎龄及出生体质量双胎早产儿组间比较差异有统计学意义（P＜0．05）。224例患儿中死亡15例，病死率为6．7％。胎龄越小、出生体质量越低，病死率越高，各组间比较差异有统计学意义（P＜0．05）。【结论】加强双胎早产儿孕母的保健工作，降低早产儿及低出生体质量儿的发生率；加强双胎早产儿常见并发症的防治，以降低其病死率。
[Obj ective]To analyze the incidence of the complications and mortality rate of twin premature infants with different gestational age and birth weight.[Methods]According to gestational age,224 twin premature infants hos-pitalized in neonate department of our hospital from July 2010 to July 2012 were divided into less than 32-week group,32～34-week group and 34～37 week group.According to birth weight,all patients were divided into less than 1500g group,1500-2500g group and more than 2500g group.The incidence of complications and mortality rate were compared among different groups.[Results]There were significant differences in the incidence of anemia,respiratory failure,reti-nopathy of prematurity（ROP）,neonatal respiratory distress syndrome（NRDS）and bronchopulmonary dysplasia（BPD）a-mong twin premature infant groups with different gestational age and birth weight（P〈0.05）,and the smaller the gesta-tion age and the lighter birth weight,the higher the incidence rate.There was significant difference in the incidence of hy-poglycemia among twin premature infant groups with different gestation age and birth weight（P〈0.05）,and the lighter birth weight,the higher the incidence rate.There was significant difference in the incidence of apnea among twin prema-ture infant groups with different gestation age and birth weight（P〈0.05）.Among 224 patients,15 patients died and the mortality rate was 6 .7%.The smaller gestation age and the lighter birth weight,the higher the mortality rate,and there was significant difference among groups（P〈0.05）.[Conclusion]Health service for pregnant women of twin pre-mature infants should be strengthened in order to decrease the occurrence of premature and low birth weight infants.The prevention and treatment of common complications of twin premature infants should be strengthened so as to decrease the mortality rate.
出处
《医学临床研究》
CAS
2014年第6期1130-1132,共3页
Journal of Clinical Research
关键词
婴儿
早产
出生体重
双生
Infant,Premature
Birth Weight
Twins
