摘要
目的分析不同胎龄新生儿呼吸窘迫综合征(NRDS)的围生期危险因素、临床特征、并发症及病情转归的区别。方法选择2015年2月1日-2016年9月1日阜阳市人民医院新生儿科住院治疗的159例NRDS患儿,根据胎龄分为:早期早产儿组(胎龄<34周)61例,晚期早产儿组(34周≤胎龄<37周)75例,足月儿组(胎龄≥37周)23例,对比分析各组NRDS患儿的围生期高危因素、临床特征、并发症等方面的统计学分析结果。结果各组NRDS患儿均以男性发病比例高,胎龄越大,发病时间越晚,入院年龄越大,并且在围生期高危因素、临床特征、并发症及疾病转归上存在一定差异(P<0.05)。结论不同胎龄NRDS患儿的临床特征、高危因素、并发症及疾病转归不同,在临床治疗方面掌握不同胎龄的NRDS患儿特点,指导临床治疗。
Objective To analyze the differences of perinatal risk factors, clinical characteristics, complications, and prognosis of neonatal respiratory distress syndrome （NRDS） in different gestational ages. Methods A total of 159 hospitalized neonates with NRDS treated in Department of Neonatology, Fuyang People＇s Hospital from February 1 st, 2015 to September 1 st, 2016 were selected and divided into early preterm infant group （61 neonates, gestational age〈34 weeks）, late preterm infant group （75 neonates, gestational age≥34 weeks and 〈 37 weeks） , and full-term infant group （23 neonates, gestational age ≥37 weeks） according to gestational age. Perinatal risk factors, clinical characteristics, and complications in the three groups were compared and analyzed. Results In the three groups, the incidence rates of NRDS in boys were higher than those in girls, the older gestational age was, the later the onset time was, the greater the age of admission was. There were statistically significant differences in perinatal risk factors, clinical characteristics, complications, and prognosis （P〈 0.05 ）. Conclusion Perinatal risk factors, clinical characteristics, complications, and prognosis are different in neonates with different gestational ages. The characteristics of NRDS in neonates with different gestational ages should be grasped to guide clinical treatment.
作者
高敏
朱影
叶玉兰
GAO Min, ZHU Ying, YE Yu-Lan(Department of Neonatology , Fuyang People＇s Hospital, Fuyang , Anhui 236000, Chin)
出处
《中国妇幼保健》
CAS
2018年第7期1545-1548,共4页
Maternal and Child Health Care of China
关键词
新生儿呼吸窘迫综合征
临床特征
高危因素
并发症
Neonatal respiratory distress syndrome
Clinical feature
High-risk factor
Complication
