近足月小于胎龄儿围生期并发症发生情况和危险因素分析

李敏遐

doi:10.13898/j.cnki.issn.1000-2200.2017.02.022

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

近足月小于胎龄儿围生期并发症发生情况和危险因素分析

李敏遐

文章导航 > 蚌埠医学院学报 > 2017, 42 > 2: (207-209)

引用本文:

Citation:

近足月小于胎龄儿围生期并发症发生情况和危险因素分析

李敏遐

广州医科大学第六附属医院, 清远市人民医院新生儿科, 广东清远 511518

作者简介: 李敏遐(1969-),女,副主任医师.

中图分类号: R722

Perinatal complication and its treatment in late preterm infants with small for gestational age

LI Min-xia

Department of Neonatology, The People's Hospital of Qingyuan, The Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan Guangzhou 511518, China
CLC number: R722

摘要: 目的：回顾性分析近足月小于胎龄儿围生期并发症发生情况和危险因素。方法：选择349例近足月儿，其中小于胎龄儿（SGA）187例，适于胎龄儿（AGA）162例，比较2组患儿的围生期情况、出生后一般情况、并发症发生情况、治疗转归和随访预后。结果：SGA组患儿围产期的母亲妊娠期高血压综合征、孕期感染、脐带异常和宫内窘迫的发生率分别为43.32%、11.23%、26.20%和18.72%，均高于AGA组（P < 0.05~P < 0.01）；SGA组患儿胎龄显著小于、1 min Apgar评分显著低于、住院时间显著长于AGA组（P<0.01）；SGA组患儿呼吸窘迫综合征、感染、高胆红素血症发生率和静脉营养应用率分别为45.99%、61.50%、32.09%和85.56%，均高于AGA组（P < 0.05~P < 0.01）；SGA组患者出院时并发症痊愈率为56.14%，低于AGA组的70.54%（P<0.05），但随访1年时，2组患儿发育情况差异无统计学意义（P>0.05）。结论：SGA较AGA患儿具有更高的并发症发生率和更低的痊愈率，同时母亲妊娠期高血压综合征、孕期感染、脐带异常和宫内窘迫是造成近足月儿SGA的危险因素，临床医生应高度重视SGA的特点，尽早干预其发生的危险因素。
- 近足月儿 /
- 围生期 /
- 小于胎龄儿 /
- 适于胎龄儿 /
- 并发症
Abstract: Objective:To analyze the perinatal complications and its treatment in late preterm infants with small for gestational age(SAG).Methods:The clinical data of 349 late preterm infants,which included 187 SGA infants and 162 appropriate for gestational age(AGA) infants,were investigated.The perinatal condition,general condition after birth,complications,treatment outcome and prognosis between two groups were compared.Results:The incidences of perinatal mother pregnancy-induced hypertension syndrome,infection during pregnancy,umbilical cord abnormality and fetal distress in SGA group were 43.32%,11.23%,26.20% and 18.72%,respectively,which was higher than that in AGA group(P < 0.05 to P < 0.01).The gestational age and 1 min Apgar score in SGA group were significantly lower than that in AGA group(P<0.01),and the hospitalization time in SGA group were significantly longer than that in AGA group(P<0.01).The incidences of respiratory distress syndrome(RDS),infection,hyperbilirubinemia,and intravenous nutrition application in SGA group were 45.99%,61.50%,32.09%,and 85.56%,respectively,whose were higher than those in AGA group(P < 0.05 to P < 0.01).The recovery rate of complication in SGA group(56.14%) was lower than that in AGA group(70.54%)(P<0.05).The difference of the developmental situation between two groups was not statistically significant(P>0.05).Conclusions:Compared with the AGA infants,the incidence rate of complication and cure rate in SAG infants were higher and lower,respectively.The mother pregnancy-induced hypertension syndrome,infection during pregnancy,umbilical cord abnormality and fetal distress are the main reasons of late preterm infants with SGA.The clinicians should pay high attentions to the characteristics of SGA,and early intervene the risk factors.
- late preterm infant /
- perinatal period /
- small for gestational age /
- appropriate for gestational age /
- complication

[1]	KATZ J,LEE ACC,KOZUKI N,et al.Mortality risk in preterm and small-for-gestational-age infants in low-income and middle-income countries:a pooled country analysis[J].The Lancet,2013,382(9890):417.
[2]	彭文涛,王丹华,魏珉.晚期早产儿管理的研究进展[J].中华现代护理杂志,2010,16(3):356.
[3]	OMER SB,GOODMAN D,STEINHOFF MC,et al.Maternal influenza immunization and reduced likelihood of prematurity and small for gestational age births:a retrospective cohort study[J].PLoS Med,2011,8(5):683.
[4]	王爱萍,李杨方,杨汝文,等.足月儿和早产儿骨代谢检测分析[J].中国新生儿科杂志,2011,26(3):193.
[5]	KORAKAKI E,DAMILAKIS J,GOURGIOTIS D,et al.Quantitative ultrasound measurements in premature infants at 1 year of age:the effects of antenatal administered corticosteroids[J].Calcif Tissue Int,2011,88(3):215.
[6]	RACK B,LOCHMVLLER EM,JANNI W,et al.Ultrasound for the assessment of bone quality in preterm and term infants[J].J Perinatol,2012,32(3):218.
[7]	李辉.重视儿童生长评价与生长监测[J].中国儿童保健杂志,2010,18(3):180.
[8]	张文丽,王新利,王太梅,等.早产低出生体质量儿体格发育纵向研究[J].中国儿童保健杂志,2006,13(6):464.
[9]	SHIFF Y,ELIAKIM A,SHAINKIN-KESTENBAUM R,et al.Measurements of bone turnover markers in premature infants[J].J Pediatr Endocrinol Metab,2001,14(4):389.
[10]	孔祥永,董建英,池婧涵,等.晚期早产儿中小于胎龄儿的临床特点[J].中国新生儿科杂志,2012,27(1):28.
[11]	王红宇,侯莹,刁敬军.晚期早产儿中小于胎龄儿的临床回顾分析[J].中国儿童保健杂志,2014,22(1):86.
[12]	叶素芬.晚期早产儿中小于胎龄儿的临床特点分析[J].现代诊断与治疗,2015,26(14):3264.

[1]	许媛媛 , 陈红波 , 孟祥莲 , 朱建生 , 孙玉琴 . 围生期B族链球菌感染对足月孕妇妊娠结局的影响. 蚌埠医学院学报, 2016, 41(12): 1651-1654. doi: 10.13898/j.cnki.issn.1000-2200.2016.12.035
[2]	张长洲 . 胃癌根治术病人围手术期并发症及其预后的影响. 蚌埠医学院学报, 2021, 46(9): 1216-1219. doi: 10.13898/j.cnki.issn.1000-2200.2021.09.016
[3]	张松 , 张志武 , 徐静 , 高嵩 , 黄鹤 , 李光早 . 唇腭裂患儿术后麻醉苏醒期并发症评估. 蚌埠医学院学报, 2010, 35(1): 25-27.
[4]	周晓 , 刘学刚 . 法洛四联症的围术期处理. 蚌埠医学院学报, 2006, 31(3): 259-261.
[5]	陈素娟 . 2种测量法在经鼻胃管留置新生儿鼻饲中应用效果的比较. 蚌埠医学院学报, 2014, 38(3): 397-398.
[6]	姚美娟 , 赵丽英 , 吴彩芳 , 陆小玲 , 褚媛媛 , 李英 , 陈洁 . 足月妊娠羊水过少围生儿并发症128例分析. 蚌埠医学院学报, 2016, 41(11): 1488-1489. doi: 10.13898/j.cnki.issn.1000-2200.2016.11.027
[7]	王玉萍 . 脑出血术后并发症85例护理体会. 蚌埠医学院学报, 2011, 36(8): 916-917.
[8]	朱松青 . 宫颈癌根治术后并发症分析. 蚌埠医学院学报, 2014, 39(8): 1089-1091.
[9]	王建斌 . 原位肝移植术后早期并发症的防治. 蚌埠医学院学报, 2007, 32(5): 569-571.
[10]	黄琨 . 先天性胆总管囊肿手术并发症5例分析. 蚌埠医学院学报, 2006, 31(4): 411-412.
[11]	张德恕 , 王芳荣 , 张伟 , 胡全芳 . 准分子激光原位角膜磨镶术并发症的预防和治疗. 蚌埠医学院学报, 2006, 31(4): 402-403.
[12]	陈志刚 , 胡宗宇 , 张书民 . 肝移植2例术后并发症的诊治体会. 蚌埠医学院学报, 2007, 32(1): 81-82.
[13]	汪艳萍 , 陈欣 . 经外周静脉置入中心静脉导管并发症观察及其护理. 蚌埠医学院学报, 2009, 34(2): 173-174.
[14]	于勤 . 冠心病介入治疗中并发症的观察与护理. 蚌埠医学院学报, 2009, 34(8): 741-742.
[15]	邹小华 , 赵桂芝 . 腹腔镜胆囊切除术并发症41例护理体会. 蚌埠医学院学报, 2011, 36(10): 1158-1159.
[16]	陈玲 , 江怀芝 , 黄培英 , 赵春苗 . 经动脉介入治疗原发性肝癌术后并发症的观察与护理. 蚌埠医学院学报, 2011, 36(10): 1151-1153.
[17]	洪世琼 . 首次血液透析患者并发症的预防及护理. 蚌埠医学院学报, 2012, 36(1): 105-107.
[18]	房君 , 江燕 . 肝癌介入治疗术后并发症的预防与护理体会. 蚌埠医学院学报, 2012, 36(11): 1364-1366.
[19]	张启发 , 刘剑新 , 张勇 , 田长海 , 韩孝洲 . 输尿管镜手术并发症分析及预防. 蚌埠医学院学报, 2012, 36(11): 1315-1317.
[20]	王晓天 , 贾国法 , 单红 , 张迪 , 吴丽颖 . 肝移植3例术后胆道并发症内镜诊治疗效分析. 蚌埠医学院学报, 2014, 39(11): 1540-1541.

点击查看大图

计量

文章访问数: 3560
HTML全文浏览量: 438
PDF下载量: 54
被引次数: 0

近足月小于胎龄儿围生期并发症发生情况和危险因素分析

李敏遐

作者简介: 李敏遐(1969-),女,副主任医师.

广州医科大学第六附属医院, 清远市人民医院新生儿科, 广东清远 511518

收稿日期: 2016-02-20

关键词:

摘要: 目的：回顾性分析近足月小于胎龄儿围生期并发症发生情况和危险因素。方法：选择349例近足月儿，其中小于胎龄儿（SGA）187例，适于胎龄儿（AGA）162例，比较2组患儿的围生期情况、出生后一般情况、并发症发生情况、治疗转归和随访预后。结果：SGA组患儿围产期的母亲妊娠期高血压综合征、孕期感染、脐带异常和宫内窘迫的发生率分别为43.32%、11.23%、26.20%和18.72%，均高于AGA组（P < 0.05~P < 0.01）；SGA组患儿胎龄显著小于、1 min Apgar评分显著低于、住院时间显著长于AGA组（P<0.01）；SGA组患儿呼吸窘迫综合征、感染、高胆红素血症发生率和静脉营养应用率分别为45.99%、61.50%、32.09%和85.56%，均高于AGA组（P < 0.05~P < 0.01）；SGA组患者出院时并发症痊愈率为56.14%，低于AGA组的70.54%（P<0.05），但随访1年时，2组患儿发育情况差异无统计学意义（P>0.05）。结论：SGA较AGA患儿具有更高的并发症发生率和更低的痊愈率，同时母亲妊娠期高血压综合征、孕期感染、脐带异常和宫内窘迫是造成近足月儿SGA的危险因素，临床医生应高度重视SGA的特点，尽早干预其发生的危险因素。

English Abstract

Perinatal complication and its treatment in late preterm infants with small for gestational age

LI Min-xia

Department of Neonatology, The People's Hospital of Qingyuan, The Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan Guangzhou 511518, China

Received Date: 2016-02-20

Abstract: Objective:To analyze the perinatal complications and its treatment in late preterm infants with small for gestational age(SAG).Methods:The clinical data of 349 late preterm infants,which included 187 SGA infants and 162 appropriate for gestational age(AGA) infants,were investigated.The perinatal condition,general condition after birth,complications,treatment outcome and prognosis between two groups were compared.Results:The incidences of perinatal mother pregnancy-induced hypertension syndrome,infection during pregnancy,umbilical cord abnormality and fetal distress in SGA group were 43.32%,11.23%,26.20% and 18.72%,respectively,which was higher than that in AGA group(P < 0.05 to P < 0.01).The gestational age and 1 min Apgar score in SGA group were significantly lower than that in AGA group(P<0.01),and the hospitalization time in SGA group were significantly longer than that in AGA group(P<0.01).The incidences of respiratory distress syndrome(RDS),infection,hyperbilirubinemia,and intravenous nutrition application in SGA group were 45.99%,61.50%,32.09%,and 85.56%,respectively,whose were higher than those in AGA group(P < 0.05 to P < 0.01).The recovery rate of complication in SGA group(56.14%) was lower than that in AGA group(70.54%)(P<0.05).The difference of the developmental situation between two groups was not statistically significant(P>0.05).Conclusions:Compared with the AGA infants,the incidence rate of complication and cure rate in SAG infants were higher and lower,respectively.The mother pregnancy-induced hypertension syndrome,infection during pregnancy,umbilical cord abnormality and fetal distress are the main reasons of late preterm infants with SGA.The clinicians should pay high attentions to the characteristics of SGA,and early intervene the risk factors.