高危儿发生现状及其危险因素分析  

Analysis of the current situation and risk factors of high-risk infants

作　　者：陈关艳 Chen Guanyan(Shaoguan Maternal and Child Health Hospital,Shaoguan,Guangdong 512000,China)

机构地区：[1]广东省韶关市妇幼保健院,广东韶关512000

出　　处：《首都食品与医药》2024年第15期113-115,共3页Capital Food Medicine

摘　　要：目的 探讨高危儿发生现状及其危险因素.方法 收集韶关市妇幼保健院2020年1月-2022年12月期间出生的高危儿,对其发生现状进行分析,另选同期于该院出生的200例健康儿为对照组,行组间单因素分析,探讨高危儿发生的危险因素.结果 2020年高危儿794例,其中病理性黄疸569例,占比71.66%,其次为早产儿303例,占比38.16%,再次为大脑功能障碍224例,占比28.21%.2021年高危儿967例,其中病理性黄疸733例,占比75.80%,其次为早产儿303例,占比31.33%,再次为大脑功能障碍244例,占比25.23%.2022年高危儿997例,其中病理性黄疸801例,占比80.34%,其次为早产儿346例,占比34.70%,再次为大脑功能障碍271例,占比27.18%.经单因素分析显示,高危儿组妊娠期合并症、出生体质量、早产、宫内感染、母亲有高危孕产史、新生儿溶血症、G-6-PD缺乏症、宫内缺氧窒息与对照组比较,有统计学意义(P<0.05);经Logistic多因素回归分析显示,宫内感染、新生儿溶血症、G-6-PD缺乏症、母亲有高危孕产史、宫内缺氧窒息均为高危儿的主要危险因素(P<0.05).结论 该院高危儿中,病理性黄疸发生占比最高,其发生与多种因素相关,需加强围产期保健与管理,最大程度预防及降低病理性黄疸发生.Objective To explore the current situation and risk factors of high-risk infants.Methods Collect high-risk infants born in our hospital between January 2020 and December 2022,analyze their occurrence status,and select 200 healthy infants born in our hospital during the same period as the control group for inter group univariate analysis to explore the risk factors for the occurrence of high-risk infants.Result In 2020,there were 794 high-risk infants,including 569 cases of pathological jaundice,accounting for 71.66%,followed by 303 premature infants,accounting for 38.16%,there were 224 cases of brain dysfunction again,accounting for 28.21%.In 2021,there were 967 high-risk infants,including 733 cases of pathological jaundice,accounting for 75.80%,followed by 303 premature infants,accounting for 31.33%,there were 244 cases of brain dysfunction again,accounting for 25.23%.In 2022,there were 997 high-risk infants,including 801 cases of pathological jaundice,accounting for 80.34%,followed by 346 premature infants,accounting for 34.70%,there were 271 cases of brain dysfunction again,accounting for 27.18%.Univariate analysis showed that there was a statistically significant difference(P<0.05)in the incidence of pregnancy complications,birth weight,premature birth,intrauterine infection,maternal history of high-risk pregnancy and childbirth,neonatal hemolysis,G-6-PD deficiency,and intrauterine hypoxia and asphyxia between the high-risk infant group and the control group;Logistic multiple regression analysis showed that intrauterine infection,neonatal hemolysis,G-6-PD deficiency,maternal history of high-risk pregnancy and childbirth,and intrauterine hypoxia and asphyxia were the main risk factors for high-risk infants(P<0.05).Conclusion Among high-risk infants in our hospital,pathological jaundice accounts for the highest proportion,and its occurrence is related to multiple factors.It is necessary to strengthen perinatal health care and management to prevent and reduce the occurrence of pathological jaundice to the greate

关 键 词：高危儿 发生现状 危险因素 病理性黄疸 围产期保健 

分 类 号：R722[医药卫生—儿科]