不同胎龄新生儿呼吸窘迫综合征临床特点与高危因素研究  

Study on the clinical characteristics and high-risk factors of neonatal respiratory distress syndrome in different gestational ages

作　　者：柏琳[1] 高艳[1] 仰守红[1] Bai Lin;Gao Yan;Yang Shouhong(Maternal and Child Health Hospital of Lianyungang City,Lianyungang Jiangsu,222000,China)

机构地区：[1]江苏省连云港市妇幼保健院,江苏连云港222000

出　　处：《中外女性健康研究》2021年第23期4-5,共2页Women＇s Health Research

摘　　要：目的:探究不同胎龄新生儿呼吸窘迫综合征的高危因素。方法:抽取本科室2018年1月至2020年4月接收的住院治疗的新生儿呼吸窘迫综合征(RDS)患儿40例,以胎龄为依据,均分为早产儿组(20例,胎龄未超过34周)及足月儿组(20例,胎龄超过37周),分析两组患儿高危因素及并发症。结果:足月儿组孕母糖尿病(35.0%)、多胎妊娠(0.0%)、胎膜早破(5.0%)等因素显著低于早产儿组(5.0%、25.0%、30.0%)(χ^(2)=5.815、6.044、5.053,P<0.05)。足月儿组患儿发生肺部感染(5.0%)、气胸(5.0%)、颅内出血(5.0%)等并发症情况,明显低于早产儿组(χ^(2)=7.081、6.583、5.471,P<0.05)。结论:不同胎龄新生儿呼吸窘迫综合征(RDS)的高危风险与并发症也有所不同,其中以早产儿最为多见,临床治疗应结合不同胎龄患儿特点,实施科学合理的治疗。Objective:To explore the differences in high-risk factors of respiratory distress syndrome among neonates of different gestational ages.Methods:A total of 40 infants with neonatal respiratory distress syndrome(RDS)hospitalized in our department from January 2018 to April 2020 were selected.Based on gestational age,they were divided into the early preterm infant group(20 cases,gestational age not exceeding 34 weeks)and term infants group(gestational age over 37 weeks),the high-risk factors and complications of the two groups were analyzed.Results:The factors of maternal diabetes(35.0%),multiple pregnancy(0.0%),and premature rupture of membranes(5.0%)in the term infant group were significantly lower than those in the early preterm infant group(5.0%、25.0%、30.0%)(χ^(2)=5.815、6.044、5.053,P<0.05).Complications such as lung infection(5.0%),pneumothorax(5.0%),and intracranial hemorrhage(5.0%)in the term infant group were significantly lower than those in the early preterm infant group(χ^(2)=7.081、6.583、5.471,P<0.05).Conclusion:The high-risk risks and complications of neonatal respiratory distress syndrome(RDS)of different gestational ages are also different.Premature babies are the most common.Clinical treatment should be combined with the characteristics of children of different gestational ages,and scientific and reasonable treatment should be implemented.

关 键 词：新生儿 呼吸窘迫综合征 临床特点 高危因素 

分 类 号：R722[医药卫生—儿科]