论文部分内容阅读
目的:分析早产儿脑室内出血的高危因素。方法:对146例脑室内出血早产儿的临床资料进行单因素分析与逐步Logistic回归分析,筛选早产儿脑室内出血的高危因素。结果:15个相关因素中,单因素分析结果显示孕周、出生体重、1分钟Apgar评分、胎盘因素、宫内窘迫、羊水因素、小于胎龄儿、代谢性酸中毒、辅助通气9个因素有显著差异(P<0.05),与早产儿脑室内出血有关;进一步行Logistic分析,出生体重、孕周、1分钟Apgar评分、宫内窘迫、代谢性酸中毒有显著差异(P<0.05)。结论:出生体重、孕周、1分钟Apgar评分、宫内窘迫、代谢性酸中毒是早产儿脑室内出血的高危因素,在早产儿的诊治过程中应予足够重视,从而提高预见性并采取早期干预措施。
Objective: To analyze the risk factors of intraventricular hemorrhage in premature infants. Methods: The clinical data of 146 cases of intraventricular hemorrhage in premature infants were analyzed by single factor analysis and stepwise Logistic regression to screen the risk factors of intraventricular hemorrhage in premature infants. Results: Among the 15 related factors, univariate analysis showed that gestational age, birth weight, 1 minute Apgar score, placental factors, intrauterine distress, amniotic fluid factors, small gestational age, metabolic acidosis, assisted ventilation were (P <0.05), which was related to intraventricular hemorrhage in preterm infants. Further Logistic analysis showed significant difference in birth weight, gestational age, 1 minute Apgar score, intrauterine distress and metabolic acidosis (P <0.05). Conclusion: The birth weight, gestational age, 1 minute Apgar score, intrauterine distress, metabolic acidosis are the risk factors for intraventricular hemorrhage in preterm infants, which should be paid enough attention in the diagnosis and treatment of premature infants to improve the predictability and take early intervention Measures.