住院极低和超低出生体质量儿506例救治体会  

Treatment Experience of 506 Cases of Very Low and Extremely Low Birth Weight Infants in NICU

作　　者：杨素娥[1] 董玉红[1] 翟炳辉[1] 

机构地区：[1]三门峡市中心医院新生儿科,河南三门峽472000

出　　处：《医学综述》2012年第3期456-458,共3页Medical Recapitulate

摘　　要：目的分析三门峡市中心医院新生儿重症监护室(NICU)住院极低出生体质量儿(VLBWI)和超低出生体质量儿(ELBWI)的救治情况。方法将我院NICU自2004年4月至2011年3月收治的506例VLBWI和ELBWI分成前后4年2组,比较主要并发症发生率和转归情况。结果后4年组和前4年组相比,主要并发症如窒息、硬肿症、肺透明膜病、颅内出血的发生率下降有统计学意义,感染性疾病的发生率下降,无统计学意义。但治愈率增高,病死率下降,差异有显著统计学意义(P<0.05)。结论不断提高NICU医护人员技术水平,进行产儿科合作,开展宫内转运,加强基层网络医院医护人员的培训,重视细节化管理,可明显降低本地区此类患儿病死率,提高治愈率。Objective To analysethe remedy circumtance of 506 cases of very low birth weight infant（VLBWI）and extremely 1ow birth weight infant（ELBWI）in neonatal intensive care unit（NICU）of Sanmenxia central hospital.Methods 506 cases of VLBWI and ELBWI from April 2004 toMarch 2011 were divided into the first 4-year group and the second 4-year group.Then the major complications and turnovers between the two groups were compared.Results The complications in the second group such as asphyxia,scleredema,hyaline membrane disease,intracranial hemorrage decreased statistically compared with those in the first group.The decreased rates on infectious diease was non-significant.Compared to the first 4-year group,the suvival rates went up remarkablly and the mortality fallde dratically（P〈0.05）.Conclusion In order to reduce neonatal mortality rate,improvement in the technical level of NICU staff,co-operation between obstetrics and pediatrics,stress on the training of primary hospital should be the priorities.

关 键 词：极低出生体质量儿 超低出生体质量儿 新生儿重症监护 防治 主要并发症 

分 类 号：R722.6[医药卫生—儿科]