超极低出生体重儿住院情况回顾性研究

吴艳; 钟晓云; 陈文; 李刚; 周利刚; 谢茜; 王琪; 沈彪

doi:10.13406/j.cnki.cyxb.000792

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超极低出生体重儿住院情况回顾性研究

临床研究 | 更新时间：2024-01-17

- 超极低出生体重儿住院情况回顾性研究
- Retrospective study on extremely and very low birth weight infants during hospitalization
- 重庆医科大学学报 2016年41卷第1期页码：98-101
- 作者机构：
  
  重庆市妇幼保健院新生儿科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.000792
  中图分类号： R722.11
- 纸质出版日期：2016，
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[1]吴艳,钟晓云,陈文,李刚,周利刚,谢茜,王琪,沈彪.超极低出生体重儿住院情况回顾性研究[J].重庆医科大学学报,2016,41(01):98-101.

Retrospective study on extremely and very low birth weight infants during hospitalization[J]. Journal of Chongqing Medical University, 2016,41(1):98-101.
[1]吴艳,钟晓云,陈文,李刚,周利刚,谢茜,王琪,沈彪.超极低出生体重儿住院情况回顾性研究[J].重庆医科大学学报,2016,41(01):98-101. DOI： 10.13406/j.cnki.cyxb.000792.

Retrospective study on extremely and very low birth weight infants during hospitalization[J]. Journal of Chongqing Medical University, 2016,41(1):98-101. DOI： 10.13406/j.cnki.cyxb.000792.

摘要

目的 :总结分析早产超、极低出生体重儿住院期间的情况

为提高早产超、极低出生体重儿生存率和生存质量提供帮助。方法:采用回顾性调查方法

收集197例早产超、极低出生体重儿的一般临床资料、住院期间的喂养方式、营养状况、并发症、结局等。结果:（1）收治的超、极低出生体重儿有逐年增加趋势

救治存活率亦逐渐提高

从2011年80.77%上升到2014年87.36%。（2）引起死亡疾病依次为:新生儿呼吸窘迫综合征、败血症、持续性肺动脉高压、脑室管膜下-脑室内出血Ⅲ

Ⅳ

°、坏死性小肠结肠炎。（3）出院时体质量、头围宫外生长发育迟缓发生率为45.18%、24.53%。（4）超、极低出生体重儿新生儿呼吸窘迫综合征发生率63.45%;败血症发生率14.72%

其中早发性败血症占34.48%、晚发性败血症占65.52%;坏死性小肠结肠炎发生率0.51%;支气管肺发育不良发生率9.88%;视网膜病变发生率21.65%;胆汁淤积发生率1.01%。结论 :影响超、极低出生体重儿存活率因素除医疗救治水平外

与家庭经济状况、患儿预后关系密切;为了提高极早早产儿的存活率和存活质量

应进一步加强孕妇产前规范化应用类固醇激素促胎肺成熟

应用INSURE技术

规范氧疗、肠内外营养、抗菌素应用等防治感染措施。

Abstract

Objective:To analyze the status of extremely and very low birth weight infants(ELBW/VLBW)during hospitalization.Methods : Data of 197 extremely and very low birth weight infants were analyzed. The information of general data

nutrition status

complications

and outcome were summarized. Results:(1)The admitted ELBW/VLBW infants were increasing year by year

and the survival rate also was increasing year by year

from 80.77% in 2011 to 87.36% in 2014.(2)The main complications led to death included neonatal respiratory distress(NRDS)

sepsisi

persistent pulmonary hypertension

IVH

necrotizing enterocolitis.(3)45.18%ELBW/VLBW experienced extra-uterine growth retardation by weight and 24.53% experienced extrauterine growth retardation by head circumference.(4)The incidences of complication:NRDS 63.45%

sepsis 14.72%

necrotizing enterocolitis 0.51%;bronchopulmonary dysplasia 9.88%;retinopathy of prematurity 21.65%;parenteral nutrition associated cholestasis 1.01%. Conclusion:Besides the level of medical treatment

the economic state of family and the prognosis of infants affect the survival rate of ELBW/VLBW. In order to improve the quality life of ELBW/VLBW

we need to improve the rate of prenatal steroids and INSURE

utilize oxygen rationally

standardize the enteral or parenteral nutrition and utilization of antibiotics

and try to decrease the rate of infection.

关键词

婴儿超低出生体重婴儿极低出生体重存活率回顾性研究

Keywords

infantsvery low birth weightsurvival rateRetrospective study

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