摘要
目的:研究分析温热地区新生儿硬肿症病因。方法:收集2011年1月-2014年6月在本院儿科诊室确诊为硬肿症的93例出生于温热地区的患儿,其中男53例,女40例,对所有患儿的入院季节和病情进行统计分析,同时检测患儿的临床相关指标。将患儿分为轻度组76例与重度组17例,对早产儿(包括低体重)与足月儿、感染与非感染、以及其他诱发硬肿症发生的相关因素进行比较。结果:对所有治疗的患儿在不同季节的病情进行统计之后可以看出,在温热地区,新生儿硬肿症轻度组和重度组的发病情况没有受到冬季气温的影响,每个季节轻度和重度的发病人数基本保持持平(轻度组患儿每个季节发病人数平均为19例,重度组患儿平均发病人数为4例)。休克和肺出血症状的患儿相对较多,男患儿16例略高于女患儿14例,共计30例,所以休克和肺出血对硬肿症有一定影响。检查有DIC症状患儿例数较少,差异无统计学意义(P>0.05)。对所有患儿的临床反应统计可知,所有轻度患儿例数均显著高于重度患儿,轻度组早产儿58例显著高于重度组早产儿14例,轻度组感染患儿47例也明显高于重度组感染患儿12例。轻度组早产儿和感染患儿均超过半数。在轻度组患儿中,足月儿、非感染患儿、明显窒息症状和非窒息均明显比重度组患儿偏多。所有患儿的临床反映差异比较均有统计学意义(P<0.05)。结论:温热地区的新生儿硬肿症主要病因可以从患儿感染、休克和肺出血等因素进行关注,无季节性,其中对于早产儿(包括低体重)这一高危群体给予更多的关注,并给予及时的治疗。
Objective：To analyze the cause of newborn’s scleredema warm region.Method：93 cases of newborn’s scleroderma of the warm area （53 males and 40 females）were collected from January 2011 to June 2014 in our hospital pediatric clinic diagnosed,statistical analysis was performed on all children on admission season and disease, simultaneous detection of clinically relevant indicators in children.Children were divided into mild group of 76 cases and severe group of 17 cases.Preterm children （included low birth weight） were compared with term children, infection with non-infected, as well as other relevant factors, such as the occurrence of induced scleroderma.Result：After treatment of the disease in children with all different seasons statistics, we could see in warm areas the incidence of newborn mild and severe groups were not affected by winter temperatures, each the number of seasonal incidence of mild and severe remained unchanged （incidence of children with mild group every season which averaged 19 cases, the average number of children with severe group’s incidence of 4 cases）.There shock and pulmonary bleeding in children were relatively more, the number of male children with 16 cases slightly higher than the number of female children of 14 cases, all total of 30 cases, therefore, there were shock and pulmonary hemorrhage some impact on neonates.Checked small number of children with symptoms of DIC, the difference was not statistically significant （P〉0.05）.All children with clinical response statistics showed that the number of mild children were all significantly higher than children with severe, mild preterm of 58 cases were significantly higher than that of 14 cases of severe preterm, mild infection children of 47 cases were significantly higher than that children with severe infection of 12 cases.Preterm children and children with mild infections surpassed majority.In the group of children with mild, full-term children, the non-infected children, asphyxia children and non-obvious symptoms of asphyxia proportion of children were more than severe group.All patients in the clinical reflected differences were statistically significant（P〈0.05）.Conclusion：The main causes of newborn warm regions can be fromchildren with infection, shock, and pulmonary hemorrhage and other factors concerned, no seasonality, which for preterm children （including low birth weight） that pay more attention to high-risk groups, and give timely treatment.
出处
《中国医学创新》
CAS
2015年第14期110-112,共3页
Medical Innovation of China
基金
广东省江门市计划科研项目(20140200022434)
广东省医学科研基金项目(A2012727)
