中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
12期
1296-1297,1300
,共3页
新生儿%近足月儿%预后
新生兒%近足月兒%預後
신생인%근족월인%예후
Newborn infants%Near term infant%Outcome
目的 对比分析足月儿与近足月儿(34周≤胎龄<7周)近期预后情况. 方法 2005年8月-2008年7月我院出生足月儿25 212例和近足月儿1 075例,从中随机抽取足月儿180例和近足月儿130例,收集包括母亲的孕期并发症、分娩方式、羊水情况、新生儿出生体质量和阿普伽新生儿(Apgar)评分等临床资料,比较近足月儿和足月儿的临床近期预后(呼吸困难、体温不稳定、低血糖、黄疸、呼吸暂停及住院天数)有无差异. 结果 足月儿与近足月儿呼吸困难发生率(分别为13.9%与47.7%)、体温不稳定发生率(分别为5.6%与29.2%)、低血糖发生率(分别为5.0%与16.2%)、高胆红素血症发生率(分别为35.6%与58.5%)、呼吸暂停发生率(分别为1.1%与22.3%)比较,差异均有统计学意义(P<0.05).足月儿与近足月儿平均住院时间(分别为4与9 d)比较,差异有统计学意义(P<0.05). 结论 与足月儿相比,近足月儿临床近期并发症的发生率更高,住院时间长,近期预后较差,因此临床上需要对近足月儿的护理及治疗加以重视.
目的 對比分析足月兒與近足月兒(34週≤胎齡<7週)近期預後情況. 方法 2005年8月-2008年7月我院齣生足月兒25 212例和近足月兒1 075例,從中隨機抽取足月兒180例和近足月兒130例,收集包括母親的孕期併髮癥、分娩方式、羊水情況、新生兒齣生體質量和阿普伽新生兒(Apgar)評分等臨床資料,比較近足月兒和足月兒的臨床近期預後(呼吸睏難、體溫不穩定、低血糖、黃疸、呼吸暫停及住院天數)有無差異. 結果 足月兒與近足月兒呼吸睏難髮生率(分彆為13.9%與47.7%)、體溫不穩定髮生率(分彆為5.6%與29.2%)、低血糖髮生率(分彆為5.0%與16.2%)、高膽紅素血癥髮生率(分彆為35.6%與58.5%)、呼吸暫停髮生率(分彆為1.1%與22.3%)比較,差異均有統計學意義(P<0.05).足月兒與近足月兒平均住院時間(分彆為4與9 d)比較,差異有統計學意義(P<0.05). 結論 與足月兒相比,近足月兒臨床近期併髮癥的髮生率更高,住院時間長,近期預後較差,因此臨床上需要對近足月兒的護理及治療加以重視.
목적 대비분석족월인여근족월인(34주≤태령<7주)근기예후정황. 방법 2005년8월-2008년7월아원출생족월인25 212례화근족월인1 075례,종중수궤추취족월인180례화근족월인130례,수집포괄모친적잉기병발증、분면방식、양수정황、신생인출생체질량화아보가신생인(Apgar)평분등림상자료,비교근족월인화족월인적림상근기예후(호흡곤난、체온불은정、저혈당、황달、호흡잠정급주원천수)유무차이. 결과 족월인여근족월인호흡곤난발생솔(분별위13.9%여47.7%)、체온불은정발생솔(분별위5.6%여29.2%)、저혈당발생솔(분별위5.0%여16.2%)、고담홍소혈증발생솔(분별위35.6%여58.5%)、호흡잠정발생솔(분별위1.1%여22.3%)비교,차이균유통계학의의(P<0.05).족월인여근족월인평균주원시간(분별위4여9 d)비교,차이유통계학의의(P<0.05). 결론 여족월인상비,근족월인림상근기병발증적발생솔경고,주원시간장,근기예후교차,인차림상상수요대근족월인적호리급치료가이중시.
Objective The infantile presentations were retrospectively studied to compare the short time clinical outcomes of full term and near full term infants (34 weeks≤gestational age <7 weeks).Methods Totally 180 full term infants and 130 near full term infants were randomly selected from 25 212 full term infants and 1 075 near full term infants in our hospital from August 2005 to July 2008.The data of the complication during pregnancy,delivery mode,amniotic fluid,body mass of infant,Apgar score and the short time clinical outcomes (respiratory distress,temperature instability,hypoglycemia,jaundice,apnea and duration of hospitalization) in early neonatal period were compared between the two groups.Results There were significant differences between the full term infants and the near full term infants in incidences of respiratory distress (13.9% vs 47.7%)),temperature instability (5.6% vs 29.2%),hypoglycemia (5.0% vs 16.2%),hyperbilirubinemia (35.6% vs 58.5%),and (1.1% vs 22.3%)(P<0.05).And there was also a significant difference in average hospitalization time (4 vs 9 d)(P<0.05).Conclusion Compared with the full term infants,the near full term infants have higher prevalence of compilation,longer length of hospitalization,and worse short time outcome.It suggests that the near full term infants need to be paid more attention in clinical nursing and treatment.
