新生儿肺透明膜病危险因素的Logistic回归分析  

Logistic resgression analysis of risk factors for neonatal hyaline membrane disease

作　　者：陈广斌[1] 陈华萍[2] 叶中绿[1] 陆羡[1] 

机构地区：[1]广东医学院附属医院儿科,广东湛江524001 [2]广东医学院附属医院药剂科,广东湛江524001

出　　处：《中国妇幼保健》2006年第5期643-645,共3页Maternal and Child Health Care of China

摘　　要：目的:分析新生儿肺透明膜病危险因素。方法:采用回顾性研究方法,对92例新生儿颅内出血的相关因素进行Logistic回归分析。结果:危险因素按OR值排序,依次为胎龄小于32周、低出生体重儿、产程未开始行剖宫产、Apgar评分小于7分、母患糖尿病、胎膜早破、宫内窘迫、产前应用激素、缺血缺氧性脑病。结论:加强围生期保健,对于预防新生儿HMD的发生有重要意义。对于伴有围产期高危因素的早产儿要高度注意HMD的发生可能。宜慎重行择期剖宫产。Objective： To observe the risk for neonatal hyaline membrane disease （HMD） . Methods： 92 newborns with HMD and 100 newberns with non - HMD were selected in the same period. The information of neonates and their mothers was analyzed with logistic regression. Results： There were 9 risk factors involved in neonatal HMD, which were arranged as follows according to odds ratio （OR） value ： gestation age less than 32 weeks, very low birth weight infant, cesarean setions performed before onsets of labor, Apgar score at 1 minute after birth less than 7, mother with diabetes, premature rupture of membrane, fetal distress, antepartum use of glucocorticoid, hypoxic ischemic encephalopathy. Conclusion： Control of these risk factors may be helpful in reduction of the incidence of neonatal HMD.

关 键 词：肺透明膜病 新生儿 LOGISTIC回归 

分 类 号：R722.151[医药卫生—儿科]