CAJ | 학술논문

目的探讨脑室周围-脑室内出血(PIVH)对早产儿排尿方式的影响.方法 31例胎龄在32～36周适于胎龄早产儿分为两组,正常组16例,胎龄(34.2±1.1)周,日龄(11±2)d;PIVH组15例,胎龄(34.1±1.1)周,日龄(11±1)d进行连续8h自由排尿观察,记录每组早产儿在观察时间内的排尿次数、每次排尿量、残余尿量、清醒排尿及间断排尿,对两组早产儿排尿参数进行统计学分析.结果 PIVH组早产儿残余尿量显著高于正常组[(2.4±0.8)ml比(2.0±0.7)ml](P＜0.05),清醒排尿比例显著低于正常组[(35±6)％比(44±8)％](P＜0.05),PIVH组与正常组早产儿在观察时间内的排尿次数[(7.4±1.0)比(7.2±1.0)]、每次排尿量[(15.6±5.7)ml比(16.5±6.0)ml]及间断排尿比例(47％比44％)差异均无统计学意义(P＞0.05).结论脑室周围-脑室内出血对32～36周胎龄早产儿残余尿量及排尿时意识状态具有显著影响,提示脑室周围-脑室内出血早产儿排尿方式与正常早产儿存在差异.
목적 탐토뇌실주위-뇌실내출혈(PIVH)대조산인배뇨방식적영향.방법 31례태령재32～36주괄우태령조산인분위량조,정상조16례,태령(34.2±1.1)주,일령(11±2)d;PIVH조15례,태령(34.1±1.1)주,일령(11±1)d진행련속8h자유배뇨관찰,기록매조조산인재관찰시간내적배뇨차수、매차배뇨량、잔여뇨량、청성배뇨급간단배뇨,대량조조산인배뇨삼수진행통계학분석.결과 PIVH조조산인잔여뇨량현저고우정상조[(2.4±0.8)ml비(2.0±0.7)ml](P＜0.05),청성배뇨비례현저저우정상조[(35±6)％비(44±8)％](P＜0.05),PIVH조여정상조조산인재관찰시간내적배뇨차수[(7.4±1.0)비(7.2±1.0)]、매차배뇨량[(15.6±5.7)ml비(16.5±6.0)ml]급간단배뇨비례(47％비44％)차이균무통계학의의(P＞0.05).결론 뇌실주위-뇌실내출혈대32～36주태령조산인잔여뇨량급배뇨시의식상태구유현저영향,제시뇌실주위-뇌실내출혈조산인배뇨방식여정상조산인존재차이.
Objective To explore the effect of PIVH on the voiding patterns of premature infants.Methods Eight-hourly observations were performed on the voiding patterns of 31 premature infants with the gestational ages ranging from 32 to 36 weeks.Of these,16 infants were without PIVH[gestation(34.2±1.1)weeks;post-birth(11±2)days]and 15 patients had PIVH[gestation(34.1±1.1)weeks;post-birth(11±1)days].The voiding times,the voiding volume,the residual,the conscious level during voidings and any interruptions at voidings were recorded and analysed.Results There are significant differences between the group with PIVH and the group without PIVH in the residual volumes[(2.4±0.8)ml vs.(2.0±0.7)ml]and the percentage of patients with conscious voiding[(35±6)％ vs.(44±8)％](P＜0.05).There was no significant difference in the voiding times[(7.4±1.0)vs.(7.2±1.0),voiding volume(15.6±5.7)ml vs.(16.5±6.0)ml]and the percentage of interruption voiding(47％ vs.44％).Conclusions There is a difference in voiding patterns between infants with PIVH and normal infants.