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目的探讨早产儿窒息的相关影响因素,为临床早产儿的诊断和治疗提供依据。方法选择嘉兴市妇幼保健院新生儿科2014年1-12月住院的早产儿372例作为研究对象,记录372例早产儿的胎龄、出生体重、分娩方式、是否有妊娠期合并症以及是否出现胎膜早破,分析早产儿胎龄、出生体重、分娩方式、妊娠期合并症以及胎膜早破与早产儿窒息的关系。结果早产儿窒息和早产儿的胎龄明显相关(P<0.05),早产儿窒息和早产儿的出生体重显著相关(P<0.05),早产儿窒息和早产儿的分娩方式显著相关(P<0.05),早产儿窒息和早产儿有无妊娠期合并症有显著相关性(P<0.05),早产儿窒息和早产儿有无胎膜早破无显著相关性(P>0.05)。结论早产儿窒息和早产儿的胎龄、出生时体重、分娩方式、母亲有妊娠期合并症有关,胎龄小、出生体重轻、剖宫产以及母亲有妊娠期合并症早产儿的窒息发生率高。早产儿窒息和未足月胎膜早破无明显相关性。
Objective To investigate the related factors of asphyxia in premature infants and provide evidence for the diagnosis and treatment of premature infants. Methods A total of 372 preterm infants hospitalized from January to December 2014 in Jiaxing Maternal and Child Health Hospital were selected as research objects. The gestational age, birth weight, mode of delivery, pregnancy complications and the presence of fetal distress in 372 preterm infants were recorded. Premature rupture of membranes, analysis of gestational age, birth weight, mode of delivery, complications during pregnancy, and premature rupture of membranes and the relationship between premature infants asphyxia. Results There was a significant correlation between asphyxia and gestational age in preterm infants (P <0.05), birth weight in premature infants with asphyxia and premature infants (P <0.05) ), Preterm infants with asphyxia and preterm children with or without pregnancy complications were significantly associated (P <0.05), premature children with asphyxia and premature children without premature rupture of membranes no significant correlation (P> 0.05). Conclusions The incidence of asphyxia in preterm infants with gestational age, weight at birth, mode of delivery, maternal complications during pregnancy, small gestational age, low birth weight, cesarean section and maternal gestational complications high. There was no significant correlation between premature infants with asphyxia and preterm premature rupture of membranes.