早产儿肺出血的临床特征及其危险因素分析  

Analysis on the Clinical Features and Risk Factors of Pulmonary Hemorrhage in Premature Infants

作　　者：闫海娜 赵志娟[1] 秦盼盼[1] YAN Haina;ZHAO Zhijuan;QIN Panpan(Department of Neonatology,Anyang Maternal and Child Health Hospital,Anyang 455000,China)

机构地区：[1]安阳市妇幼保健院新生儿科,河南安阳455000

出　　处：《临床医学工程》2024年第5期637-638,共2页Clinical Medicine & Engineering

摘　　要：目的分析早产儿肺出血的临床特征及其相关危险因素。方法选取2019年10月至2022年10月我院收治的80例肺出血早产儿作为肺出血组,另选取同期我院收治的80例未出现肺出血的早产儿作为非肺出血组。统计80例肺出血早产儿的临床特征,并采用单因素和多因素分析找出早产儿肺出血发生的相关危险因素。结果80例肺出血早产儿心力衰竭、低体温、反应差、经皮血氧饱和度降低、肺部啰音、面色苍白、呼吸困难、发绀等临床表现发生率分别为58.75%、43.75%、87.50%、83.75%、90.00%、65.00%、32.50%、87.50%。经单因素和多因素Logistic回归分析结果显示,出生体重<2 kg、出现感染性肺炎、新生儿窒息及肺透明膜病是早产儿肺出血发生的独立危险因素(P<0.05)。结论肺出血早产儿有心力衰竭、低体温、反应差、经皮血氧饱和度降低、肺部啰音、面色苍白、呼吸困难、发绀等临床特征;早产儿肺出血的发生与其出生体重、感染性肺炎、新生儿窒息、肺透明膜病等密切相关,临床需对上述早产儿重点关注并采取针对性干预措施,以减少肺出血的发生。Objective To analyze the clinical features and related risk factors for pulmonary hemorrhage in premature infants.Methods 80 premature infants with pulmonary hemorrhage admitted to our hospital from October 2019 to October 2022 were selected as the pulmonary hemorrhage group,and 80 premature infants without pulmonary hemorrhage admitted to our hospital during the same period were selected as the non-pulmonary hemorrhage group.The clinical features of 80 premature infants with pulmonary hemorrhage were counted,and univariate and multivariate analysis were used to identify the related risk factors for pulmonary hemorrhage in premature infants.Results The incidences of clinical manifestations such as heart failure,hypothermia,poor response,decreased percutaneous oxygen saturation,lung rales,pale complexion,dyspnea,and cyanosis in 80 premature infants with pulmonary hemorrhage were 58.75%,43.75%,87.50%,83.75%,90.00%,65.00%,32.50%,and 87.50%,respectively.Univariate and multivariate logistic regression analysis showed that birth weight<2 kg,infectious pneumonia,neonatal asphyxia and hyaline membrane disease were independent risk factors for pulmonary hemorrhage in premature infants(P<0.05).Conclusions Premature infants with pulmonary hemorrhage have clinical features such as heart failure,hypothermia,poor response,decreased percutaneous oxygen saturation,lung rales,pale complexion,dyspnea,and cyanosis;The pulmonary hemorrhage in premature infants is closely related to the birth weight,infectious pneumonia,neonatal asphyxia,and pulmonary hyaline membrane disease.Clinical attention should be paid to these premature infants and targeted intervention measures should be taken to reduce the pulmonary hemorrhage.

关 键 词：早产儿 肺出血 临床特征 危险因素 

分 类 号：R722.6[医药卫生—儿科]