摘要
目的 探索新生儿呼吸衰竭的相关危险因素和防治措施.方法 收集某医院2016年1月至2018年12月收治的重症监护室的呼吸衰竭的新生儿186例和未发生呼吸衰竭的新生儿188例,比较两组患儿的原发病种数和分析新生儿衰竭的相关危险因素.结果 研究组的农村患儿、早产、剖宫产、多胎妊娠、宫内窘迫、妊娠并发症的比例高于对照组,差异有统计学意(P<0.05).新生儿呼吸衰竭的原发病种中,研究组的羊水吸入性肺炎、胎粪吸入综合征、呼吸窘迫综合征、先天性心脏病、出生窒息比例高于对照组,差异有统计学意义(P<0.05).logistic多因素分析结果显示患儿早产、剖宫产、羊水吸入性肺炎、呼吸窘迫综合征、出生窒息等是新生儿呼吸衰竭的独立危险因素(P<0.05).结论 新生儿呼吸衰竭的病因与很多因素有关,应关注患儿居住地、早产、剖宫产、羊水吸入性肺炎、呼吸窘迫综合征、出生窒息等危险因素.
Objective To explore the related risk factors and prevention and treatment measures of neonatal respiratory failure.Methods Totally 186 neonates with respiratory failure and 188 neonates without respiratory failure in the intensive care unit admitted to our hospital from January 2016 to December 2018 were collected,and the number of primary diseases and related factors of neonatal failure in the two groups were compared.Results The proportion of rural children,preterm delivery,cesarean section,multiple pregnancy,intrauterine distress and pregnancy complications in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).Among the primary diseases of neonatal respiratory failure,the proportions of amniotic fluid aspiration pneumonia,meconium aspiration syndrome,respiratory distress syndrome,congenital heart disease and birth asphyxia in the study group were higher than those in the control group,with statistically significant differences(P<0.05).The results of logistic multivariate analysis showed that preterm delivery,cesarean section,amniotic fluid aspiration pneumonia,respiratory distress syndrome and birth asphyxia were the independent risk factors of neonatal respiratory failure(P<0.05).Conclusion The cause of neonatal respiratory failure is related to many factors,so it is necessary to strengthen the monitoring of the living place,premature delivery,cesarean section,amniotic fluid aspiration pneumonia,respiratory distress syndrome,birth asphyxia and other risk factors.
作者
李精华
Li Jinghua(Department of Pediatrics,Yuyao People's Hospital,Yuyao 315400,China)
出处
《中国医院统计》
2019年第4期269-271,共3页
Chinese Journal of Hospital Statistics
关键词
新生儿
呼吸衰竭
危险因素
newborn
respiratory failure
risk factor
