100例早产的危险因素及其转归的分析研究
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摘要
目的探讨100例早产的危险因素及其转归的分析研究。方法选取2014年6月-2017年10月于广东省惠州市妇幼保健计划生育服务中心产科分娩且转入儿科的早产儿100例作为研究对象,根据分娩方式分成阴道分娩和剖宫产,并分析造成早产的危险因素及其对早产儿的影响。结果 100例早产产妇中阴道分娩率30. 0%,剖宫产率70. 0%。导致早产的主要危险因素为胎膜早破、胎儿窘迫、内科合并症及不明原因等,发生率分别为34. 0%、13. 0%、11. 0%和14. 0%。100例早产儿中有68例发生并发症,并发症发生率为68. 0%,其中主要并发症分别为新生儿肺炎、先天性心脏病、新生儿窒息及肺透明膜病等。结论胎膜早破、胎儿窘迫、内科合并症等可诱发早产的发生,增大并发症及死亡风险,早产儿根据其实际情况采用相应的干预措施,有助于提高早产儿生存率,规避并发症所致的影响。
Objective To explore the risk factors of premature birth and prognosis of premature infants. Methods A total of 100 preterm infants who delivered and transferred to pediatrics from June 2014 to October 2017 were selected t and divided into vaginal delivery group and cesarean section group. The risk factors of premature birth and their influence on preterm infants were analyzed.Results The vaginal delivery rate was 30% and the cesarean delivery rate was 70% among the mothers of 100 premature infants. The main risk factors for premature birth were premature rupture of membranes,fetal distress,internal medical complication and unknown causes and so on. The incidence the above diseases was 34%,13%,11% and 14%,respectively. Complications occurred in 68 of the 100 preterm infants,and the incidence of complications was 68%. The major complications were neonatal pneumonia,congenital heart disease,neonatal asphyxia and hyaline membrane disease. Conclusion Premature rupture of membranes,fetal distress and complication of internal medicine can induce the occurrence of premature birth,increase the risk of complications and death of infants.It is helpful to improve the survival rate of preterm infants and avoid the effect of complications by taking corresponding intervention measures according to their actual circumstance.
Objective To explore the risk factors of premature birth and prognosis of premature infants. Methods A total of 100 preterm infants who delivered and transferred to pediatrics from June 2014 to October 2017 were selected t and divided into vaginal delivery group and cesarean section group. The risk factors of premature birth and their influence on preterm infants were analyzed.Results The vaginal delivery rate was 30% and the cesarean delivery rate was 70% among the mothers of 100 premature infants. The main risk factors for premature birth were premature rupture of membranes,fetal distress,internal medical complication and unknown causes and so on. The incidence the above diseases was 34%,13%,11% and 14%,respectively. Complications occurred in 68 of the 100 preterm infants,and the incidence of complications was 68%. The major complications were neonatal pneumonia,congenital heart disease,neonatal asphyxia and hyaline membrane disease. Conclusion Premature rupture of membranes,fetal distress and complication of internal medicine can induce the occurrence of premature birth,increase the risk of complications and death of infants.It is helpful to improve the survival rate of preterm infants and avoid the effect of complications by taking corresponding intervention measures according to their actual circumstance.
引文
[1]周淼,张彤.规范产前检查与早产儿的关系[J].中国妇幼健康研究,2015,26(3):422-425.
[2]景丹.社会环境因素与早产相关性的研究进展[J].中国妇幼健康研究,2018,29(1):127-130.
[3]刘后,付磊,李娜,等.早产的社会、生活环境危险因素分析[J].江苏预防医学,2015,26(1):101-102.
[4] Di Renzo GC,Roura LC,Facchinetti F,et al. Guidelines for the management of spontaneous preterm labor:identification of spontaneous preterm labor,diagnosis of preterm premature rupture of membranes,and preventive tools for preterm birth[J]. J Matern Fetal Neonatal Med,2011,24(5):659-667.
[5] Attachoo A,Horatanaruang D,Chongarunngamsang W,et al. The incidence and risk factors of apnea in premature infants underwent general anesthesia for cryotherapy or laser photocoagulation for treatment of retinopathy of prematurity at Queen Sirikit National Institute of Child Health[J]. J Med Assoc Thai,2014,97(Suppl 6):S26-32.
[6] Patel PB,Rupani MP,Patel SS. Antenatal care registration and predicting factors of late registration among pregnant women[J]. Trop Doct,2013,43(1):9-12.
[7]孔蓉.胎膜早破致早产266例临床分析[J].中国社区医师,2015,31(4):71-72.
[2]景丹.社会环境因素与早产相关性的研究进展[J].中国妇幼健康研究,2018,29(1):127-130.
[3]刘后,付磊,李娜,等.早产的社会、生活环境危险因素分析[J].江苏预防医学,2015,26(1):101-102.
[4] Di Renzo GC,Roura LC,Facchinetti F,et al. Guidelines for the management of spontaneous preterm labor:identification of spontaneous preterm labor,diagnosis of preterm premature rupture of membranes,and preventive tools for preterm birth[J]. J Matern Fetal Neonatal Med,2011,24(5):659-667.
[5] Attachoo A,Horatanaruang D,Chongarunngamsang W,et al. The incidence and risk factors of apnea in premature infants underwent general anesthesia for cryotherapy or laser photocoagulation for treatment of retinopathy of prematurity at Queen Sirikit National Institute of Child Health[J]. J Med Assoc Thai,2014,97(Suppl 6):S26-32.
[6] Patel PB,Rupani MP,Patel SS. Antenatal care registration and predicting factors of late registration among pregnant women[J]. Trop Doct,2013,43(1):9-12.
[7]孔蓉.胎膜早破致早产266例临床分析[J].中国社区医师,2015,31(4):71-72.