Wu Chen, Deng Chun. Risk factors for bronchopulmonary dysplasia in neonates with respiratory distress syndrome[J]. Journal of Chongqing Medical University, 2017,42(8):1016-1022.
Wu Chen, Deng Chun. Risk factors for bronchopulmonary dysplasia in neonates with respiratory distress syndrome[J]. Journal of Chongqing Medical University, 2017,42(8):1016-1022. DOI: 10.13406/j.cnki.cyxb.001340.
Objective:To identify the risk factors for bronchopulmonary dysplasia(BPD)in neonatal respiratory distress syndrome(NRDS). Methods:Data from 287 neonates with RDS who were hospitalized over 28 days were analyzed respectively. Results:Of the287 neonates
131 developed BPD. In univariate analysis
gestational age
birth weight
hospitalization duration
maternal age
cesarean section
the times of pulmonary surfactant(≥2 times)
the dose of pulmonary surfactant
the positive rate of sputum cultures
repeated mechanical ventilation
the mode of mechanical ventilation
the inhaled oxygen volume concentration
the duration of mechanical ventilation
the duration of oxygen
ventilator-associated pneumonia
pulmonary hypertension
patent ductus arteriosus(PDA)
the survival rate and the mortality
gran negative bacillus were all associated with an increase in the incidence of BPD(P<0.05). No significant differences was found in the first minute of Apgar score
the hospitalization time
the fetal distress
gestational complications
the rate of pulmonary surfactant
the time of pulmonary surfactant
the first blood gas analysis scores after birth
combined with neonatal necrotizing enterocolitis(NEC)
air leak
septicemia
retinopathy of prematurity(ROP)
intracranial hemorrhage
pneumorrhagia between the two groups(P>0.05). Multivariate logistic regression model showed that the high birth weight
cesarean section were protecting factors and the the positive rate of sputum cultures
repeated mechanical ventilation
the duration of oxygen and pulmonary hypertension were risk factors for BPD. Conclusion:Shortening the duration of oxygen and preventing the pulmonary hypertension are key methods to reduce BPD in neonates with RDS.