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目的分析新生儿呼吸窘迫综合征(RDS)患儿出院1年呼吸道感染情况。方法选取2012年1-12月在该院新生儿科住院且符合诊断标准的RDS患儿90例,均治愈出院1年,分成3组,A组为RDSⅠ级患儿,B组为RDSⅡ~Ⅲ级患儿,C组为RDSⅣ级患儿,通过电话及电子病历信息随访。结果 C组呼吸道感染率(86.7%)、再次住院率(76.7%)和喘息发生率(53.3%)均高于A组及B组,差异有统计学意义(P<0.05)。结论 RDSⅣ级患儿呼吸道感染、再次住院和喘息发生率均高于RDSⅠ~Ⅲ级患儿,临床工作者应注意该类患儿新生儿期的呼吸道管理,避免出现肺部损伤,导致日后出现反复呼吸道感染及反复喘憋。
Objective To analyze the respiratory infection in children with neonatal respiratory distress syndrome (RDS) discharged from hospital for 1 year. Methods Ninety patients with RDS admitted to neonatology department between January and December in 2012 were enrolled in this study. All patients were discharged from hospital for one year and divided into three groups. Group A was RDS grade Ⅰ, group B was RDS Ⅱ ~ Ⅲ Children, Group C, were RDS grade IV children, followed by telephone and electronic medical records. Results The respiratory tract infection rate (86.7%), rehospitalization rate (76.7%) and wheezing incidence (53.3%) in group C were significantly higher than those in group A and group B (P <0.05). Conclusions The incidence of respiratory tract infection, re-hospitalization and wheezing again in children with RDS grade Ⅳ are higher than those in children with RDS grade Ⅰ-Ⅲ. Clinicians should pay attention to the respiratory management during neonatal period to avoid lung injury and lead to repeated in the future Respiratory infections and repeated wheezing.