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目的分析孝感市2007—2011年早产儿主要并发症发生情况,探讨影响早产儿生存质量的疾病,为临床预防及制订治疗方案提供依据。方法回顾性分析17所医院收治的8 143例有早产儿并发症患儿的临床资料,对并发症发生率>1%的早产儿并发症进行统计分析。结果 8 143例中早产儿并发症发生率位居前4位的是吸入综合征(58.22%)、高胆红素血症(48.99%)、早产儿脑损伤(23.30%)、窒息(包括宫内窒息)(22.68%);吸入综合征、高胆红素血症、新生儿呼吸窘迫综合征、喂养不耐受、消化道出血、贫血并发症发生率男性均大于女性(P<0.05);部分并发症的发生与体质量及胎龄存在正相关或负相关关系。结论小胎龄和低体质量早产儿是各种并发症发生率增加的主要原因,防治早产和各种并发症可有效提高早产儿生存质量。
Objective To analyze the prevalence of major complications of premature infants in Xiaogan from 2007 to 2011, and to explore the diseases that affect the quality of life of premature infants, so as to provide the basis for clinical prevention and treatment planning. Methods The clinical data of 8 143 children with preterm infant complications admitted to 17 hospitals were retrospectively analyzed. The complication rates of complications of preterm children> 1% were analyzed statistically. Results Among 8 143 middle-aged children with preterm birth, the highest incidence of complications was inhalation syndrome (58.22%), hyperbilirubinemia (48.99%), premature infants with brain injury (23.30%), asphyxia (22.68%). The incidences of inhalation syndrome, hyperbilirubinemia, neonatal respiratory distress syndrome, feeding intolerance, gastrointestinal bleeding and anemia were higher than those in women (P <0.05). The occurrence of some complications and body weight and gestational age there is a positive correlation or negative correlation. Conclusion Preterm infants with small gestational age and low birth weight are the main causes of various complication rates. Prevention and treatment of premature birth and various complications can effectively improve the quality of life of premature infants.