摘要
目的对880例低出生体重儿(LBWI)进行分析,查找LBWI发生的影响因素及并发症,为临床医师及孕期保健提供参考。方法采用病例对照的方法分别分析880例LBWI和同期正常出生体重儿(NBWI)产妇的基本情况及其临床特点。研究组为880例活产LBWI,对照组为同期880例NBWI,分析影响因素;按体重不同,将880例LBWI分为≤1000g组、1000~1500g组、1500~2500g组;按孕周不同,分为≤32周组、32~37周组、>37周组,分析常见并发症。结果孕周、产妇年龄、多胎妊娠、妊娠期高血压疾病、胎膜早破、胎盘早剥、羊水污染、脐带异常、前置胎盘、急性呼吸道感染是LBWI发生的危险因素。并发症主要有新生儿呼吸窘迫综合征、新生儿窒息、支气管肺发育不良、贫血、先天性心脏病、电解质紊乱。结论LBWI的发生受多种因素影响,并发症多样,预防LBWI的发生要关注孕期保健,控制高危因素,应尽可能预防早产的发生。
Objective:To find out the influencing factors and complications of LBWI, and provide reference for the clinician and pregnancy care. Methods:The clinical case-control method was used to analyze the basic conditions and clinical features of 880 LBWIs and NBWIs. The study group had 880 live LBWIs and the control group had 880 NBWIs in the same period. According to different body weight, 880 LBWIs were divided into less than or equal to 1 000g group, 1 000g to 1 500g group, 1 500g group to 2 500g group. According to different gestational weeks, the patients were divided into less than or equal to 32 weeks group, 32 weeks to 37 weeks group, and more than 37 weeks group, and common complications were analyzed.Results:Premature birth, maternal age, multiple pregnancy, pregnancy-induced hypertension, scar uterus, premature rupture of membranes, placental abruption, amniotic fluid abnormalities, umbilical cord abnormalities, placenta previa, acute respiratory infection were the risk factors of LBWIs. Complications mainly included neonatal respiratory distress syndrome, neonatal asphyxia, bronchopulmonary dysplasia, anemia, heart disease and electrolyte imbalance. Conclusion:The occurrence of LBWIs is affected by many factors, and the complications are diverse. The incidence of LBWIs should be reduced by paying attention to health care during pregnancy, control of high risk factors, and prevention of premature birth as much as possible.
作者
张玉臻
齐骥
李慧
杨晓雯
ZHANG Yu-zhen;QI Ji;LI Hui;YANG Xiao-wen(Shandong First Medical University & Shandong Academy of Medical Sciences, Taian 271016, China;Dept. of Neonatology,The Second Affiliated Hospital of Shandong First Medical University,Taian 271000,China)
出处
《泰山医学院学报》
CAS
2019年第9期659-662,共4页
Journal of Taishan Medical College
