广西北海地区2169例住院新生儿患病状况分析  

Analysis of Prevalence of 2169 Hospitalized Newborns in Beihai Area of Guangxi

作　　者：蒙海强[1] 王玲[1] 莫坚[1] 陈丽兰[1] 沈洋[1] 贾小飞[1] 

机构地区：[1]广西医科大学第九附属医院新生儿科,广西北海536000

出　　处：《医学临床研究》2013年第4期679-682,共4页Journal of Clinical Research

摘　　要：【目的】了解广西北海地区住院新生儿的患病状况。【方法】对我市某家三甲综合医院和市妇幼保健院的新生儿科2006年1月1日至2009年12月31日期间出院的2169例新生儿流行病学资料进行回顾性分析。【结果】早产儿占住院新生儿28．5％。住院前三位病种：黄疸、早产儿、肺炎。足月儿的黄疸、缺氧缺血性脑病（HIE）、肺炎、颅内感染、败血症发生率均显著高于早产儿；而早产儿的颅内出血、吸入综合征、肺出血、暂时性呼吸困难（TTN）、呼吸窘迫（RDS）、坏死性肠炎（NEC）发生率均显著高于足月儿。剖宫产分娩新生儿的黄疸、呼吸系统疾病发生率均显著高于自然分娩者。住院新生儿死亡率0．4％。【结论】住院新生儿中早产儿比例升高，感染性疾病比例逐渐减少。剖宫产分娩可能增加新生儿黄疸、呼吸系统疾病风险。加强孕期保健与胎儿监测工作十分重要。[Objective]To understand the prevalence of hospitalized newborns in Beihai area of Guangxi. [Methods]The epidemiological data of 2169 newborns discharged from the department of neonatology in one third-grade class^A hospital and municipal maternal and child health hospital from Jan. 2006 to Dec. 2009 were analyzed retrospectively. [Results] The premature infants accounted for 28.5 % of hospitalized newborns. The top three diseases in hospital were jaundice, premature and pneumonia. The incidence of jaundice, hypoxic-is- chemic encephalopathy（HIE）, pneumonia, intracranial infection and septicemia in full-term infants were sig- nificantly higher than those in premature infants. The incidence of intracranial hemorrhage, suction syndrome, pulmonary hemorrhage, temporary difficulty breathing（TTN）, respiratory distress（RDS） and necrotic enteri- tis （NEC） in premature infants were significantly higher than those in full-term infants. The incidence rate of jaundice and respiratory system disease in cesarean section delivery were significantly higher than those in natu- ral childbirth. The hospitalized newborn mortality was 0.4%. [Conclusion] The ratio of preterm infant is in- creased in hospitalized newborns. The proportion of infectious diseases is gradually decreased. Cesarean sec- tion delivery may increase the risk of jaundice and respiratory system disease. Strengthening prenatal care and fetal monitoring is very important.

关 键 词：婴儿 新生 疾病 流行病学 广西[壮族自治区] 

分 类 号：R722.1[医药卫生—儿科]