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纸质出版:2011
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晏青,余加林,卞鹰.2 709例低出生体质量患儿情况分析[J].陆军军医大学学报(原第三军医大学学报),2011,33(16):1743-1746.
Yan Qing,Yu Jialin,Bian Ying.Analysis on status of 2 709 low-birth-weight infants in Chongqing, China[J].J Amry Med Univ (J Third Mil Med Univ),2011,33(16):1743-1746.
目的 了解重庆低出生体质量患儿情况并作5年动态比较。 方法 回顾性分析2005年1月至2009年9月重庆医科大学附属儿童医院新生儿诊疗中心收治的2 709例低出生体质量患儿的临床资料,应用SPSS 16.0软件进行统计学分析。 结果 ①5年来,低出生体质量患儿在同期住院新生儿中的比例始终11%。②住院新生儿中,不同出生体质量组的患儿其平均病死率比较,差异有统计学意义(χ
2
=50.070,P0.05);出生体质量在1 500~2 000 g的患儿其病死率为正常出生体质量住院患儿的1.69倍,体质量<1 500 g的患儿病死率为正常出生体质量患儿的8.79倍。③男性患儿平均出生体质量较女性患儿重(t=2.247,P0.05)。④重庆低出生体质量患儿以早产为主,平均占87.4%。⑤初产儿平均出生体质量较经产儿(产次≥2)高(F=15.146,P0.05)。⑥低出生体质量患儿的母亲中,45.6%曾患各类感染性疾病。⑦近50.0%的孕母在生育旺盛期以外的年龄段进行生产,40.7%的母亲处于无业状态。 结论 尽可能防止早产,在可控范围内减少多胎妊娠并适度控制产次等方面是重庆市低出生体质量疾控工作的重要环节,加强对低出生体质量儿,尤其是极低出生体质量儿的监测护理,提高其存活率,是降低重庆市新生儿死亡率的关键。
Objective To investigate the status of low-birth-weight infants (LBWIs) in Chongqing
China in previous five years
and to provide theoretical basis for preventive measures. Methods A retrospective study was conducted on 2
709 LBWIs hospitalized in Children’s Hospital of Chongqing Medical University from Jan. 2005 to Sep. 2009. Statistical analysis was conducted using software SPSS 16.0. Results The proportion of LBWIs in hospitalized newborns remained above 11% in the five years. The average mortality of newborns had significant statistical differences among different birth weight (BW) groups (chi square=50.070
P0.05). The mortality of newborns with BW of 1 500-2 500 g was 1.69 times that of those with normal BW
and the mortality of newborns with BW less than 1-500 g was 8.79 times that of those with normal BW. The mean BW of male newborns was higher than that of female newborns (t=2.247
P=0.025). A majority of LBWIs were preterm infants
with an average proportion of 87.4%. The mean BW of firstborns was higher than that of others (F=15.146
P0.05). Among the LBWIs’ mothers
45.6% had suffered from infectious diseases during pregnancy. Close to half of the LBWIs’ mothers were aged beyond 20-29 years during pregnancy
and 40.7% were out of work. Conclusion In Chongqing
preventing preterm birth
controlling multifetation
and reducing parity play essential roles in preventing low birth weight of infants. Intensive care for LBWI
especially for very-low-birth-weight infants (VLBWIs)
can increase the survival rate and finally reduce the mortality of newborns.
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