CAJ | 학술논문

目的：探讨足月新生儿呼吸窘迫综合征（ NRDS）发病的相关危险因素。方法：选择符合研究条件的98例呼吸窘迫综合征患儿定为观察组，同期住院治疗的98例非呼吸窘迫综合征患儿定为对照组，对2组患儿的临床资料进行回顾性分析。结果：观察组男性患儿的发病率高于对照组、平均出生体重低于对照组，差异均有统计学意义（P＜0．05）），但2组胎龄差异无统计学意义（P＞0．05）；观察组的母亲妊娠期糖尿病、剖宫分娩、宫内窘迫、分娩窒息的发生率高于对照组，差异有统计学意义（P＜0．05），但2组的胎数、脐带绕颈等资料无统计学差异（P＞0．05）。多因素Logistic回归分析显示，新生儿性别、出生体重、母亲妊娠期糖尿病、剖宫分娩、宫内窘迫、产程窒息6个因素均与NRDS发病密切相关。结论：新生儿性别、出生体重、剖宫分娩、出生窒息、宫内窘迫均是足月NRDS发病的相关危险因素。
목적：탐토족월신생인호흡군박종합정（ NRDS）발병적상관위험인소。방법：선택부합연구조건적98례호흡군박종합정환인정위관찰조，동기주원치료적98례비호흡군박종합정환인정위대조조，대2조환인적림상자료진행회고성분석。결과：관찰조남성환인적발병솔고우대조조、평균출생체중저우대조조，차이균유통계학의의（P＜0．05）），단2조태령차이무통계학의의（P＞0．05）；관찰조적모친임신기당뇨병、부궁분면、궁내군박、분면질식적발생솔고우대조조，차이유통계학의의（P＜0．05），단2조적태수、제대요경등자료무통계학차이（P＞0．05）。다인소Logistic회귀분석현시，신생인성별、출생체중、모친임신기당뇨병、부궁분면、궁내군박、산정질식6개인소균여NRDS발병밀절상관。결론：신생인성별、출생체중、부궁분면、출생질식、궁내군박균시족월NRDS발병적상관위험인소。
Objective:To study on risk factors of neonatal respiratory distress syndrome pathogenesis .Methods:Choose the research condition of 98 cases of children with respiratory distress syndrome as the observation group , 98 cases of hospitalized with the same period of children with respiratory distress syndrome as the control group , the clinical data of two groups of children were retrospectively ana-lyzed.Results:Observation group is higher than the control group , the incidence of male children on average birth weight is lower than the control group, the difference had statistical significance (P <0.05), but the gestational age differences in the two groups have no statistical significance (P >0.05);Observation group's mother gestational diabetes, cutting palace delivery, intrauterine distress, the in-cidence of birth asphyxia is higher than the control group , the difference was statistically significant (P <0.05), but the two groups of births, umbilical cord around the neck and other information no statistical difference (P >0.05).Multiariable Logistic regression analy-sis showed that sex, birth weight of newborn babies, mother gestational diabetes, delivery, intrauterine distress, cutting palace labor suf-focation six factors are closely associated with the onset of NRDS .Conclusion: Gender, birth weight of newborn babies , cutting palace birth, birth asphyxia , intrauterine distress are term NRDS related risk factors of the disease .