全科医学临床与教育
全科醫學臨床與教育
전과의학림상여교육
CLINICAL EDUCATION OF GENERAL PRACTICE
2014年
3期
274-275,282
,共3页
余宇龙%潘知焕%李绍锦%郭美丽%华孝真%杜少霞
餘宇龍%潘知煥%李紹錦%郭美麗%華孝真%杜少霞
여우룡%반지환%리소금%곽미려%화효진%두소하
早产儿%贫血程度%危险因素
早產兒%貧血程度%危險因素
조산인%빈혈정도%위험인소
premature infants%degree of anemia%risk factors
目的：探讨围产期影响早产儿贫血程度的危险因素。方法将180例早产儿贫血分为轻中度贫血组和重度贫血组。对其性别构成比、胎龄、出生体重、剖宫产、多胎、母孕期疾患、2周内采血量、住院时间、出生时血红蛋白值等因素进行单因素分析和logistic多因素分析。结果单因素分析显示：轻中度贫血患儿胎龄、出生体重、2周内采血量、住院时间、出生时血红蛋白值与重度贫血之间比较，差异均有统计学意义（t分别=4.57、3.61、4.83、6.83、5.06，P均＜0.05）；而两组的性别构成比、剖宫产率、多胎以及母孕期疾病比较，差异均无统计学意义（χ2分别=0.18、0.25、0.46、0.53，P均＞0.05）。多因素logistic回归分析结果显示：早产儿贫血程度与住院时间、血红蛋白值、2周内采血量有关（OR分别=1.03、2.96、5.15，P均＜0.05）。结论早产儿贫血程度与住院时间、血红蛋白值、2周内采血量具有相关性。缩短住院时间、适当增加早产儿出生时血红蛋白量和减少医源性失血可预防早产儿贫血的发生。
目的：探討圍產期影響早產兒貧血程度的危險因素。方法將180例早產兒貧血分為輕中度貧血組和重度貧血組。對其性彆構成比、胎齡、齣生體重、剖宮產、多胎、母孕期疾患、2週內採血量、住院時間、齣生時血紅蛋白值等因素進行單因素分析和logistic多因素分析。結果單因素分析顯示：輕中度貧血患兒胎齡、齣生體重、2週內採血量、住院時間、齣生時血紅蛋白值與重度貧血之間比較，差異均有統計學意義（t分彆=4.57、3.61、4.83、6.83、5.06，P均＜0.05）；而兩組的性彆構成比、剖宮產率、多胎以及母孕期疾病比較，差異均無統計學意義（χ2分彆=0.18、0.25、0.46、0.53，P均＞0.05）。多因素logistic迴歸分析結果顯示：早產兒貧血程度與住院時間、血紅蛋白值、2週內採血量有關（OR分彆=1.03、2.96、5.15，P均＜0.05）。結論早產兒貧血程度與住院時間、血紅蛋白值、2週內採血量具有相關性。縮短住院時間、適噹增加早產兒齣生時血紅蛋白量和減少醫源性失血可預防早產兒貧血的髮生。
목적：탐토위산기영향조산인빈혈정도적위험인소。방법장180례조산인빈혈분위경중도빈혈조화중도빈혈조。대기성별구성비、태령、출생체중、부궁산、다태、모잉기질환、2주내채혈량、주원시간、출생시혈홍단백치등인소진행단인소분석화logistic다인소분석。결과단인소분석현시：경중도빈혈환인태령、출생체중、2주내채혈량、주원시간、출생시혈홍단백치여중도빈혈지간비교，차이균유통계학의의（t분별=4.57、3.61、4.83、6.83、5.06，P균＜0.05）；이량조적성별구성비、부궁산솔、다태이급모잉기질병비교，차이균무통계학의의（χ2분별=0.18、0.25、0.46、0.53，P균＞0.05）。다인소logistic회귀분석결과현시：조산인빈혈정도여주원시간、혈홍단백치、2주내채혈량유관（OR분별=1.03、2.96、5.15，P균＜0.05）。결론조산인빈혈정도여주원시간、혈홍단백치、2주내채혈량구유상관성。축단주원시간、괄당증가조산인출생시혈홍단백량화감소의원성실혈가예방조산인빈혈적발생。
Objective To explore the risk factor for premature anemia degree in perinatal period. Methods A total of 180 cases of premature were divided into mild and moderate anemia group and severe anemia group. The gender, gesta-tional age, birth weight, cesarean section, multiplets, affection in pregnancy, blood volume collecting in two weeks, length of hospital stay and hemoglobin value at time of birth were analyzed using single factor analysis and logistic analysis. Results Single factor analysis showed that the differences of gestational age, birth weight, blood volume collecting in two weeks, length of hospital stay and hemoglobin value at time of birth between two groups were statistically significant (t=4.57,3.61,4.83,6.83,5.06,P<0.05) while the differences of gender, cesarean section, multiplets and affection in preg-nancy between two groups were not statistically significant(χ2=0.18, 0.25, 0.46, 0.53, P>0.05). Logistic regression anal-ysis showed that hospitalization time, hemoglobin value and blood volume collecting in two weeks were the influence fac-tors of premature anemia degree (OR=1.03, 2.96, 5.15, P<0.05). Conclusion The hospitalization time, hemoglobin value and blood volume collecting in two weeks were the influence factors of premature anemia degree. It can prevent the occurrence of premature anemia by shortening the length of hospital stay, increasing hemoglobin at time of birth and re-ducing iatrogenic blood loss.
