中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2013年
2期
135-139
,共5页
新生儿呼吸窘迫综合征%宫外生长受限%早期营养%早产儿
新生兒呼吸窘迫綜閤徵%宮外生長受限%早期營養%早產兒
신생인호흡군박종합정%궁외생장수한%조기영양%조산인
Respiratory distress syndrome%Extrauterine growth restriction%Early nutrition%Premature infant
目的 评价患有新生儿呼吸窘迫综合征(respiratory distress syndrome,RDS)的早产儿出生时宫内生长受限(intrauterine growth restriction,IUGR)和出院时宫外生长受限(extrauterine growth restriction,EUGR)的发生率,并分析其对早期营养支持的影响.方法 收集新生儿重症监护室符合入选标准的70例RDS早产儿的临床资料,根据出院时体重是否存在EUGR,分为EUGR组(48例)和非EUGR组(22例),比较两组患儿基本情况、围生期因素、住院期间营养摄入状况、治疗措施及合并症方面的差异.结果 以体重评价,70例RDS早产儿IUGR与EUGR的发生率分别为12.86％ (9/70)和60.00％ (42/70)；两组出生体重[(1 666.10 ±440.16)g vs(2 108.20±552.81)g]、出生头围[(28.81±2.65) cm vs (30.48±2.39) cm]、多胎妊娠例数(16例vs 3例)、剖宫产例数(29例vs 7例)差异有统计学意义(P＜0.05)；在出生胎龄、住院期间营养摄入、呼吸机支持及合并症方面两组之间差异无统计学意义(P＞0.05).结论 RDS早产儿的EUGR与存在IUGR、多胎妊娠、剖宫产、出生体重低、出生头围小有关,住院短时间的营养干预尚不能改善RDS早产儿的EURG.
目的 評價患有新生兒呼吸窘迫綜閤徵(respiratory distress syndrome,RDS)的早產兒齣生時宮內生長受限(intrauterine growth restriction,IUGR)和齣院時宮外生長受限(extrauterine growth restriction,EUGR)的髮生率,併分析其對早期營養支持的影響.方法 收集新生兒重癥鑑護室符閤入選標準的70例RDS早產兒的臨床資料,根據齣院時體重是否存在EUGR,分為EUGR組(48例)和非EUGR組(22例),比較兩組患兒基本情況、圍生期因素、住院期間營養攝入狀況、治療措施及閤併癥方麵的差異.結果 以體重評價,70例RDS早產兒IUGR與EUGR的髮生率分彆為12.86％ (9/70)和60.00％ (42/70)；兩組齣生體重[(1 666.10 ±440.16)g vs(2 108.20±552.81)g]、齣生頭圍[(28.81±2.65) cm vs (30.48±2.39) cm]、多胎妊娠例數(16例vs 3例)、剖宮產例數(29例vs 7例)差異有統計學意義(P＜0.05)；在齣生胎齡、住院期間營養攝入、呼吸機支持及閤併癥方麵兩組之間差異無統計學意義(P＞0.05).結論 RDS早產兒的EUGR與存在IUGR、多胎妊娠、剖宮產、齣生體重低、齣生頭圍小有關,住院短時間的營養榦預尚不能改善RDS早產兒的EURG.
목적 평개환유신생인호흡군박종합정(respiratory distress syndrome,RDS)적조산인출생시궁내생장수한(intrauterine growth restriction,IUGR)화출원시궁외생장수한(extrauterine growth restriction,EUGR)적발생솔,병분석기대조기영양지지적영향.방법 수집신생인중증감호실부합입선표준적70례RDS조산인적림상자료,근거출원시체중시부존재EUGR,분위EUGR조(48례)화비EUGR조(22례),비교량조환인기본정황、위생기인소、주원기간영양섭입상황、치료조시급합병증방면적차이.결과 이체중평개,70례RDS조산인IUGR여EUGR적발생솔분별위12.86％ (9/70)화60.00％ (42/70)；량조출생체중[(1 666.10 ±440.16)g vs(2 108.20±552.81)g]、출생두위[(28.81±2.65) cm vs (30.48±2.39) cm]、다태임신례수(16례vs 3례)、부궁산례수(29례vs 7례)차이유통계학의의(P＜0.05)；재출생태령、주원기간영양섭입、호흡궤지지급합병증방면량조지간차이무통계학의의(P＞0.05).결론 RDS조산인적EUGR여존재IUGR、다태임신、부궁산、출생체중저、출생두위소유관,주원단시간적영양간예상불능개선RDS조산인적EURG.
Objective To assess the incidences of intrauterine growth restriction (IUGR) and extrauterine growth restriction(EUGR) in premature infants with respiratory distress syndrome (RDS) and early nutritional efficiency on EUGR.Methods Data of 70 infants with RDS admitted in neonatal intensive care unit were reviewed.According to the weight when a premature infant was discharged,all subjects were divided into EUGR group(48 cases) and non-EUGR group(22 cases).The difference of two groups in terms of basic situation,peripartum factors,nutritional support,treatment measures and complications were compared.Results Assessing by weight,the incidence of IUGR and EUGR was 12.86％ (9/70)and 60.00％ (42/70)respectively.The differences in birth weight [(1 666.10 ±440.16) g vs (2 108.20 ±552.81) g],head circumference at birth [(28.81 ± 2.65) cm vs (30.48 ± 2.39) cm],IUGR,multiple pregnancy (16 cases vs 3 cases),cesarean delivery (29 cases vs 7 cases) were considered statistically significant (P ＜ 0.05),and there were no stastitically significant difference in gestational age,nutritional support,mechanical ventilation and complications (P ＞ 0.05).Conclusion The EUGR is related with IUGR,multiple pregnancy,cesarean delivery,low birthweight,low birth head circumference.The short time nutrition interventions can't improve EUGR in RDS.
