极低出生体质量儿的临床特征及预后分析

Clinical characteristics and prognosis of very low birth weight neonates

  • 摘要:
      目的  了解本院极低出生体质量儿的临床特征并分析影响预后的因素。
      方法  回顾本院收治的120例极低出生体质量儿的临床资料,对患儿临床特征、产妇围术期基本情况及患儿并发症情况进行对比分析,总结极低出生体质量儿预后的影响因素。
      结果  未治愈组患儿胎龄、出生体质量均显著低于治愈组(P<0.05), 住院时间显著短于治愈组(P<0.05)。2组产妇平均生产年龄、妊娠期糖尿病比例及习惯性流产史产妇比例无显著差异(P>0.05)。未治愈组高龄产妇比例显著高于治愈组(P<0.05), 2组妊娠期高血压产妇比例有显著差异(P<0.05)。治愈组呼吸衰竭、高乳酸血症和低血糖等并发症发生率显著低于未治愈组(P<0.05)。
      结论  极低出生体质量儿病死率较高,影响预后因素也较多。临床上针对这些因素制定合理的管理及治疗方案,可提高极低出生体质量儿的生存率及生存质量。

     

    Abstract:
      Objective  To investigate the clinical characteristics and prognostic factors of very low birth weight (VLBW) in our hospital.
      Methods  The clinical data of 120 VLBW neonates admitted to our hospital were reviewed. The clinical characteristics of neonates with VLBW, maternal perioperative basic information, and the incidence of complications of neonates were analyzed, the prognostic factors of the VLBW neonates were summarized.
      Results  The gestational age and birth weight of neonates in the unhealed group were significantly lower than those in the cured group(P < 0.05), and the length of hospital stay was shorter than that in the cured group(P < 0.05). There were no significant differences in dilivery age, and the ratios of gestational diabetes mellitus and habitual abortion(P>0.05). The proportion of mothers with higher child-bearing age in the unhealed group was significantly higher than that in the cured group(P < 0.05), and there was significant difference in ratio of gestational diabetes between two groups(P < 0.05). The incidences of complications such as respiratory failure, hyperlactacidemia and hypoglycemia in the cured group was significantly lower than that in the unhealed group(P < 0.05).
      Conclusion  The VLBW infants affecting by many factors have higher mortality. Therefore, reasonable management and treatment programs should be developed according to these factors in clinical practice, so as to improve the survival rate and quality of life of VLBW infants.

     

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