早产儿宫外发育迟缓相关因素分析  

Analysis of the of related factors for extrauterine growth restriction in premature infant

作　　者：王洪波[1] 张秋丽[1] 王燕玲[1] 周建生[1] 贺瑞荣[1] 蔡娟[1] 

机构地区：[1]宁夏石嘴山市第一人民医院,宁夏石嘴山753200

出　　处：《宁夏医学杂志》2017年第2期145-147,共3页Ningxia Medical Journal

摘　　要：目的探讨影响早产儿宫外发育迟缓(EUGR)发生的相关因素。方法收集住院且存活出院的早产儿578例,根据出院时体重分为EUGR组209例和非EUGR组369例。回顾性分析2组围生期资料,住院期间生长、营养摄入及合并症发生情况等临床资料。结果 EUGR组和非EUGR组早产儿在多胎、宫内发育迟缓和出生窒息发生率等围生期因素,新生儿呼吸窘迫综合征、贫血、感染等出生后状况,出生体重、最低体重、体重增长速度、肠外营养持续时间等营养因素方面,差异均有统计学意义(P<0.05);多因素Logistic回归分析结果显示,低出生体重、出生胎龄小、首次肠内喂养时间迟、宫内发育迟缓、合并呼吸窘迫综合征或感染等并发症为早产儿发生EUGR的独立危险因素。结论早产儿EUGR的相关因素涉及宫内生长发育情况、营养因素及出生后并发症等多个方面,应积极做好围产期保健,防治各种并发症,以减少EUGR的发生。Objective To explore the related factors for extrauterine growth restriction （EUGR） in premature infant. Methods 578 cases of premature infants admitted in our hospital and survival to hospital discharge were collected,d and were divided into EUGR group （ 209 cases） and non - EUGR group （ 369 cases ） according to the weight at discharge. The perinatal period data, growth data, nutritional intake, and complications during the perinatal periodhospital - lization of two groups were retrospectively ana- lyzed. Results The incidence of multiple pregnancy, intrauterine growth retardation, birth asphyxia, premature labor, respiratory distress syndrome, anemia, infection, gestational age, birth weight, minimum weight, body weight growth rate , discharged weight were lower, mini- mum weight and the drop of body weight decreased wereamplitude was larger, and recovery time of birth weight, length of stay, parenteral nutrition last time,the difference was statistically significant （P 〈 0.05 ）. Logistic muhivariable analysis showed that low birth weight, small gestational age, first enteral feeding time, intrauterine growth retardation, combined respiratory distress syndrome or infection were the independent risk factors for EUGR in prematurepreterm infants. Conclusion The related factors of EUGR in prematurepreterm infants were involved in the development of intrauterine growth, nutritional factors and postnatal complications. We should strengthen the perinatal care, treat various complications after birth of high risk premature infants,in order to reduce the incidence of EUGR.

关 键 词：早产儿 宫外发育迟缓 相关因素 

分 类 号：R722.6[医药卫生—儿科]