[1]晏青,余加林,卞鹰.2 709例低出生体质量患儿情况分析[J].第三军医大学学报,2011,33(16):1743-1746.
 Yan Qing,Yu Jialin,Bian Ying.Analysis on status of 2 709 low-birth-weight infants in Chongqing, China[J].J Third Mil Med Univ,2011,33(16):1743-1746.
点击复制

2 709例低出生体质量患儿情况分析(/HTML )
分享到:

《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
33卷
期数:
2011年第16期
页码:
1743-1746
栏目:
论著
出版日期:
2011-08-30

文章信息/Info

Title:
Analysis on status of 2 709 low-birth-weight infants in Chongqing, China
作者:
晏青余加林卞鹰
第三军医大学西南医院儿科;重庆医科大学附属儿童医院新生儿科; 澳门大学中华医药研究院
Author(s):
Yan Qing Yu Jialin Bian Ying
Department of Pediatrics, Southwest Hospital, Third Military Medical University, Chongqing, 400038; Department of Neonatology, Children’s Hospital, Chongqing Medical University, Chongqing, 400014; Institute of Chinese Medical Sciences, University of Macau, Macau, China
关键词:
低出生体质量新生儿一般状况
Keywords:
low birth weight infantsnewbornsanalysis
分类号:
R195.2;R723.2
文献标志码:
A
摘要:
目的     了解重庆低出生体质量患儿情况并作5年动态比较。     方法     回顾性分析2005年1月至2009年9月重庆医科大学附属儿童医院新生儿诊疗中心收治的2 709例低出生体质量患儿的临床资料,应用SPSS 16.0软件进行统计学分析。     结果     ①5年来,低出生体质量患儿在同期住院新生儿中的比例始终>11%。②住院新生儿中,不同出生体质量组的患儿其平均病死率比较,差异有统计学意义(χ2=50.070,P<0.05);出生体质量在1 500~2 000 g的患儿其病死率为正常出生体质量住院患儿的1.69倍,体质量<1 500 g的患儿病死率为正常出生体质量患儿的8.79倍。③男性患儿平均出生体质量较女性患儿重(t=2.247,P<0.05)。④重庆低出生体质量患儿以早产为主,平均占87.4%。⑤初产儿平均出生体质量较经产儿(产次≥2)高(F=15.146,P<0.05)。⑥低出生体质量患儿的母亲中,45.6%曾患各类感染性疾病。⑦近50.0%的孕母在生育旺盛期以外的年龄段进行生产,40.7%的母亲处于无业状态。     结论     尽可能防止早产,在可控范围内减少多胎妊娠并适度控制产次等方面是重庆市低出生体质量疾控工作的重要环节,加强对低出生体质量儿,尤其是极低出生体质量儿的监测护理,提高其存活率,是降低重庆市新生儿死亡率的关键。
Abstract:
Objective     To investigate the status of low-birth-weight infants (LBWIs) in Chongqing, China in previous five years, and to provide theoretical basis for preventive measures.      Methods     A retrospective study was conducted on 2,709 LBWIs hospitalized in Children’s Hospital of Chongqing Medical University from Jan. 2005 to Sep. 2009. Statistical analysis was conducted using software SPSS 16.0.      Results     The proportion of LBWIs in hospitalized newborns remained above 11% in the five years. The average mortality of newborns had significant statistical differences among different birth weight (BW) groups (chi square=50.070, P<0.05). The mortality of newborns with BW of 1 500-2 500 g was 1.69 times that of those with normal BW, and the mortality of newborns with BW less than 1-500 g was 8.79 times that of those with normal BW. The mean BW of male newborns was higher than that of female newborns (t=2.247, P=0.025). A majority of LBWIs were preterm infants, with an average proportion of 87.4%. The mean BW of firstborns was higher than that of others (F=15.146, P<0.05). Among the LBWIs’ mothers, 45.6% had suffered from infectious diseases during pregnancy. Close to half of the LBWIs’ mothers were aged beyond 20-29 years during pregnancy, and 40.7% were out of work.      Conclusion     In Chongqing, preventing preterm birth, controlling multifetation, and reducing parity play essential roles in preventing low birth weight of infants. Intensive care for LBWI, especially for very-low-birth-weight infants (VLBWIs), can increase the survival rate and finally reduce the mortality of newborns.

参考文献/References:

晏青, 余加林, 卞鹰. 2 709例低出生体质量患儿情况分析[J].第三军医大学学报,2011,33(16):1743-1746.

相似文献/References:

[1]杨建强,王培光,张学军,等.新生儿红斑狼疮1例[J].第三军医大学学报,2009,31(03):264.
[2]米弘瑛,李利,苏品璨.新生儿Rh溶血病8例临床分析[J].第三军医大学学报,2012,34(20):2138.
[3]闫莉,刘恩梅,黄英.新生儿脐血单个核细胞ICOS与转录因子表达的观察[J].第三军医大学学报,2008,30(02):149.
[4]李禄全,余加林,王家蓉,等.建立影响新生儿肺出血病死率危险因素量化评分体系的研究[J].第三军医大学学报,2008,30(15):1473.
 LI Lu-quan,YU Jia-lin,WANG Jia-rong,et al.Risk factors for mortality in neonatal pulmonary hemorrhage: a prediction score model[J].J Third Mil Med Univ,2008,30(16):1473.
[5]伍剑,史源,唐延松,等.205例新生儿高胆红素血症病因分析[J].第三军医大学学报,2007,29(12):1266.
[6]周莲娟,马美丽,孔益萍,等.新生儿大疱性表皮松解症的护理[J].第三军医大学学报,2007,29(03):224.
[7]董欣竞,李晓庆,周德凯.经后矢状入路肛门直肠成形术治疗中高位肛门直肠畸形疗效分析[J].第三军医大学学报,2006,28(20):2088.
[8]刘健,肖颖彬,陈林,等.新生儿完全性大动脉调转术后成功救治的临床分析[J].第三军医大学学报,2006,28(13):1451.
[9]姜小华,龙华.新生儿单心房、单心室2例[J].第三军医大学学报,2005,27(17):1781.
[10]龙华,姜小华.先天性食管闭锁误诊分析[J].第三军医大学学报,2005,27(09):840.

更新日期/Last Update: 2011-08-30