CAJ | 학술논문

目的：探讨极低出生体重儿发病的临床特点。方法回顾性总结分析2011年3月～2012年3月50例极低出生体重儿的临床资料，并根据胎龄不同将其分为＜32周组及≥32周组，对两组不同的相关临床指标进行比较分析。结果不同胎龄分组的两组患儿平均体重日增长数及住院时间比较，差异具有统计学意义（P＜0.05），但两组患儿的死亡率差异不显著性（P＞0.05）。＜32周患儿的NRDS发生率、喂养不耐受率明显高于≥32周组，差异具有统计学意义（P＜0.05）。结论 VLBWI的发病病因较多，主要为母体因素，不同胎龄VLBWI日平均体重增长情况及住院时间、并发症不同，其中＜32周胎龄VLBWI患儿并发症发生率较高，应早期采用综合治疗方法治疗，才能降低其并发症的发生率，提高抢救的成功率。
목적：탐토겁저출생체중인발병적림상특점。방법회고성총결분석2011년3월～2012년3월50례겁저출생체중인적림상자료，병근거태령불동장기분위＜32주조급≥32주조，대량조불동적상관림상지표진행비교분석。결과불동태령분조적량조환인평균체중일증장수급주원시간비교，차이구유통계학의의（P＜0.05），단량조환인적사망솔차이불현저성（P＞0.05）。＜32주환인적NRDS발생솔、위양불내수솔명현고우≥32주조，차이구유통계학의의（P＜0.05）。결론 VLBWI적발병병인교다，주요위모체인소，불동태령VLBWI일평균체중증장정황급주원시간、병발증불동，기중＜32주태령VLBWI환인병발증발생솔교고，응조기채용종합치료방법치료，재능강저기병발증적발생솔，제고창구적성공솔。
Objective To investigate the clinical features of incidence of very low birth weight infants(VLBWI). Methods The clinical data of 50 infants with very low birth weight from March 2011 to March 2012 were retrospectively summarized and analyzed, and the infants were divided into the gestational age<32 weeks group and the gestational age≥32 weeks group according to different gestational age. The different relevant clinical parameters of two groups were compared and analyzed. Results There were significant differences in the infant’s average weight daily growth and hospital stays between two groups(P < 0.05), but there was not significant difference in the mortality rate between two groups(P > 0.05). The incidence rate of NRDS and feeding intolerance in the gestational age < 32 weeks group were significantly higher than those in the gestational age≥32 weeks group, the differences were statistically significant(P<0.05). Conclusion VLBWI is caused by many causes, the main cause is maternal factors,the average weight daily growth,hospital stays and complications are different for different gestational age VLBWI, of which the incidence rate of complications in VLBWI with gestational age < 32 weeks is higher,so early using integrated treatment method can reduce the incidence rate of complications,improve the success rate of rescue.