晚期早产儿和足月儿RDS的临床分析  

Clinical analysis of RDS in late preterm infants and full-term infants

作　　者：杨峻[1] 

机构地区：[1]广东省东莞市厚街医院儿科,532945

出　　处：《中国现代药物应用》2015年第23期9-11,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨晚期早产儿和足月儿呼吸窘迫综合征(RDS)的高危因素和临床特点。方法收集新生儿科住院的RDS患儿共106例,按胎龄分为早产儿组(<34周)62例和晚期早产儿/足月儿组(>34周)44例,回顾分析其特点。结果选择性剖宫产、绒毛膜羊膜炎、妊娠期糖尿病是晚期早产儿/足月儿组RDS的高危因素(P<0.05);与早产儿组相比,晚期早产儿/足月儿组RDS应用肺表面活性物质(PS)效果相对较差(P>0.05),需要机械通气比例高(P<0.05);晚期早产儿/足月儿组RDS更易并发气胸(P<0.05)。结论 1选择性剖宫产和绒毛膜羊膜炎、妊娠期糖尿病是晚期早产儿/足月儿RDS的高危因素;2晚期早产儿/足月儿RDS症状更危重,气胸发生率高。Objective To investigate high risk factors and clinical characteristics of respiratory distress syndrome （RDS） in late preterm infants and full-term infants. Methods A total of 106 hospitalized newborn with RSD were divided by gestational age into preterm infants group （〈34 weeks） with 62 cases and late preterm infants/full-term infants group （〉34 weeks） with 44 cases. Their characteristics were retrospectively analyzed. Results Selective cesarean section, chorioamnionitis, and gestational diabetes mellitus were the high risk factors for RDS in the late preterm infants/full-term infants group （P〈0.05）. Comparing with the preterm infants group, the late preterm infants/full-term infants group had worse effect of pulmonary surfactant （PS） for RDS （P〉0.05） and higher proportion of mechanical ventilation （P〈0.05）. The late preterm infants/full-term infants group had high occurrence of RDS complicated with pneumothorax （P〈0.05）. Conclusion （1）Selective cesarean section, chorioamnionitis, and gestational diabetes mellitus are the high risk factors for RDS in the late preterm infants/ fuU-term infants group. （2）The late preterm infants/full-term infants contain worse RDS symptoms and higher incidence of pneumothorax.

关 键 词：晚期早产儿 足月儿 呼吸窘迫综合征 选择性剖宫产 

分 类 号：R722[医药卫生—儿科]