临床儿科杂志
臨床兒科雜誌
림상인과잡지
2014年
9期
812-815
,共4页
新生儿肺出血%死亡%高危因素%Logistic多元回归模型
新生兒肺齣血%死亡%高危因素%Logistic多元迴歸模型
신생인폐출혈%사망%고위인소%Logistic다원회귀모형
neonatal pulmonary hemorrhage%death%risk factor%Logistic regression model
目的:探讨影响新生儿肺出血预后的相关因素。方法选择2005年1月至2011年12月住院治疗的69例确诊为肺出血的新生儿为研究对象,根据临床预后分为死亡组和存活组,对两组患儿的临床特征进行单因素分析,筛选出关联因素,并以此为基础,进行非条件Logistic多元回归模型分析。结果单因素分析表明,新生儿肺出血死亡与吸入性肺炎、高胆红素血症、弥漫性血管内凝血、心力衰竭及血小板平均体积(MPV)相关联。多元回归模型提示患儿有弥漫性血管内凝血(OR=6.90,95%CI:1.51~31.42)和心力衰竭(OR=9.62,95%CI:1.71~54.15),以及肺出血前MPV<11 fl(OR=7.01,95%CI:1.48~33.31),是肺出血死亡的独立危险因素。结论对并存弥漫性血管内凝血、心力衰竭及MPV值低的新生儿肺出血应采取更积极的干预措施。
目的:探討影響新生兒肺齣血預後的相關因素。方法選擇2005年1月至2011年12月住院治療的69例確診為肺齣血的新生兒為研究對象,根據臨床預後分為死亡組和存活組,對兩組患兒的臨床特徵進行單因素分析,篩選齣關聯因素,併以此為基礎,進行非條件Logistic多元迴歸模型分析。結果單因素分析錶明,新生兒肺齣血死亡與吸入性肺炎、高膽紅素血癥、瀰漫性血管內凝血、心力衰竭及血小闆平均體積(MPV)相關聯。多元迴歸模型提示患兒有瀰漫性血管內凝血(OR=6.90,95%CI:1.51~31.42)和心力衰竭(OR=9.62,95%CI:1.71~54.15),以及肺齣血前MPV<11 fl(OR=7.01,95%CI:1.48~33.31),是肺齣血死亡的獨立危險因素。結論對併存瀰漫性血管內凝血、心力衰竭及MPV值低的新生兒肺齣血應採取更積極的榦預措施。
목적:탐토영향신생인폐출혈예후적상관인소。방법선택2005년1월지2011년12월주원치료적69례학진위폐출혈적신생인위연구대상,근거림상예후분위사망조화존활조,대량조환인적림상특정진행단인소분석,사선출관련인소,병이차위기출,진행비조건Logistic다원회귀모형분석。결과단인소분석표명,신생인폐출혈사망여흡입성폐염、고담홍소혈증、미만성혈관내응혈、심력쇠갈급혈소판평균체적(MPV)상관련。다원회귀모형제시환인유미만성혈관내응혈(OR=6.90,95%CI:1.51~31.42)화심력쇠갈(OR=9.62,95%CI:1.71~54.15),이급폐출혈전MPV<11 fl(OR=7.01,95%CI:1.48~33.31),시폐출혈사망적독립위험인소。결론대병존미만성혈관내응혈、심력쇠갈급MPV치저적신생인폐출혈응채취경적겁적간예조시。
Objective To investigate the risk factors in the outcome of neonatal pulmonary hemorrhage. Methods A total of 69 cases of neonatal pulmonary hemorrhage from January 2005 to December 2011 were studied. They were divided into 2 groups according to clinical outcome (death or alive). The data of the two groups were compared using single factor analysis. The risk factors were analyzed using multi-factor analysis. Results The death of neonates with pulmonary hemorrhage was correlated with aspiration pneumonia, coagulation abnormalities, DIC, heart failure and MPV. Multi-factor analysis showed that DIC (OR=6.90, 95%CI:1.514-31.419), heart failure (OR=9.62, 95%CI:1.710-54.150) and MPV<11 prior to pulmonary hemorrhage (OR=7.01, 95%CI:1.475-33.312) were the independent risk factors of neonatal pulmonary hemorrhage. Conclusions For the neonatal pulmonary hemorrhage with DIC, heart failure and low MPV, active intervention should be implemented.