中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2014年
5期
883-887
,共5页
崔凤静%杨燕玲%崔兆芳%周继勇%单若冰
崔鳳靜%楊燕玲%崔兆芳%週繼勇%單若冰
최봉정%양연령%최조방%주계용%단약빙
呼吸窘迫综合征,新生儿%危险因素%婴儿%早产%宫外发育迟缓
呼吸窘迫綜閤徵,新生兒%危險因素%嬰兒%早產%宮外髮育遲緩
호흡군박종합정,신생인%위험인소%영인%조산%궁외발육지완
Respiratory distress syndrome,newborn%Risk factors%Infant%Premature birth%Extrauterine growth retardation
目的：探讨新生儿呼吸窘迫综合征（RDS）早产儿宫外发育迟缓（EUGR）相关危险因素，以探讨预防对策。方法收集2011年1月1日至2012年10月31日新生儿重症监护室的60例适于胎龄儿的 RDS 早产儿的临床资料，根据出院时体质量与矫正胎龄的关系，分为 EUGR 组与非EUGR组，应用SPSS 17.0软件进行数据分析，比较两组基本情况、围产期因素、营养摄入情况、治疗措施及并发症方面的差异；并对相关因素进行Logistic回归分析，筛选出RDS早产儿宫外发育迟缓的高危因素。结果适于胎龄的 RDS 早产儿宫外发育迟缓发生率为56.67%（34/60）。EUGR组与非EUGR组出生体质量、最小体质量、多胎妊娠、分娩方式差异有统计学意义（P＜0.05），在胎龄、营养摄入情况、治疗措施及并发症方面差异无统计学意义（P＞0.05）。Logistic 回归分析：恢复出生体质量时间、多胎妊娠为危险因素，产前激素应用为保护性因素。结论适于胎龄的RDS早产儿EUGR与多胎妊娠、剖宫产、出生体质量低、最小体质量有关，恢复出生体质量时间及多胎妊娠为EUGR危险因素。
目的：探討新生兒呼吸窘迫綜閤徵（RDS）早產兒宮外髮育遲緩（EUGR）相關危險因素，以探討預防對策。方法收集2011年1月1日至2012年10月31日新生兒重癥鑑護室的60例適于胎齡兒的 RDS 早產兒的臨床資料，根據齣院時體質量與矯正胎齡的關繫，分為 EUGR 組與非EUGR組，應用SPSS 17.0軟件進行數據分析，比較兩組基本情況、圍產期因素、營養攝入情況、治療措施及併髮癥方麵的差異；併對相關因素進行Logistic迴歸分析，篩選齣RDS早產兒宮外髮育遲緩的高危因素。結果適于胎齡的 RDS 早產兒宮外髮育遲緩髮生率為56.67%（34/60）。EUGR組與非EUGR組齣生體質量、最小體質量、多胎妊娠、分娩方式差異有統計學意義（P＜0.05），在胎齡、營養攝入情況、治療措施及併髮癥方麵差異無統計學意義（P＞0.05）。Logistic 迴歸分析：恢複齣生體質量時間、多胎妊娠為危險因素，產前激素應用為保護性因素。結論適于胎齡的RDS早產兒EUGR與多胎妊娠、剖宮產、齣生體質量低、最小體質量有關，恢複齣生體質量時間及多胎妊娠為EUGR危險因素。
목적：탐토신생인호흡군박종합정（RDS）조산인궁외발육지완（EUGR）상관위험인소，이탐토예방대책。방법수집2011년1월1일지2012년10월31일신생인중증감호실적60례괄우태령인적 RDS 조산인적림상자료，근거출원시체질량여교정태령적관계，분위 EUGR 조여비EUGR조，응용SPSS 17.0연건진행수거분석，비교량조기본정황、위산기인소、영양섭입정황、치료조시급병발증방면적차이；병대상관인소진행Logistic회귀분석，사선출RDS조산인궁외발육지완적고위인소。결과괄우태령적 RDS 조산인궁외발육지완발생솔위56.67%（34/60）。EUGR조여비EUGR조출생체질량、최소체질량、다태임신、분면방식차이유통계학의의（P＜0.05），재태령、영양섭입정황、치료조시급병발증방면차이무통계학의의（P＞0.05）。Logistic 회귀분석：회복출생체질량시간、다태임신위위험인소，산전격소응용위보호성인소。결론괄우태령적RDS조산인EUGR여다태임신、부궁산、출생체질량저、최소체질량유관，회복출생체질량시간급다태임신위EUGR위험인소。
Objective To explore the epidemiological rule and correlated risk factors of extrauterine growth retardation in premature infants with respiratory distress syndrome(RDS) and to provide prevention and reduce its morbidity. Methods Data of 60 infants with RDS who were appropriate for gestational age incharged from Jan.1.2011 to Oct.30.2012 at the Neonatal Intensive Care Unit of Qingdao Women and Children Hospital were reviewed. According to the weight when he(she) was discharged, all subjects were divided into EUGR group and non-EUGR group.The SPSS 17.0 was applied to analyze the data.The difference of 2 groups in terms of basic situation, peripartum factors, nutritional support, treatment measures and complications were compared.Correlation factors were screened out by Logistic regression analysis. Results Among 60 RDSs who were appropriate for gestational age, 34 cases were extrauterine growth retardation. The differences in birth weight, the minimum weight, multiple pregnancy, delivery pattern were considered statistically significant (P<0.05), and there were no statistically significant difference in gestational age, nutritional support, treatment measures and complications (P>0.05). Logistic regression analysis:The time to regain birth weight and multiple pregnancy were independent risk factors for extrauterine growth retardation, while prenatal use of cortical hormone was its protective factor. Conclusions The extrauterine growth retardation in RDSs who were appropriate for gestation age is related with low birth weight, multiple pregnancy, cesarean delivery. The time to regain birth weight and multiple pregnancy were independent risk factors for extrauterine growth retardation in RDS.
