Background: To examine the differences in prevalence of respiratory distress syndrome, early-onset sepsis and jaundice, between late preterm infants versus term infants in Ecuadorian newborns. Methods: Study design: E...Background: To examine the differences in prevalence of respiratory distress syndrome, early-onset sepsis and jaundice, between late preterm infants versus term infants in Ecuadorian newborns. Methods: Study design: Epidemiological, observational, and cross-sectional, with two cohorts of patients. Settings: IESS Quito Sur Hospital at Quito, Ecuador, from February to April of 2020. Participants: This study included 204 newborns, 102 preterm infants, 102 term infants. Results: There are significant differences between late preterm infants and term infants, with a p-value of 0.000 in the prevalence of early sepsis, 70.59% vs. 35.29%. In respiratory distress syndrome between late and term premature infants, significant differences were observed with a p-value of 0.000, the proportion being 55.58% vs. 24.51% respectively. The prevalence of jaundice is higher in term infants with a p value of 0.002, 72.55%, versus 51.96% in late preterm infants, and the mean value of bilirubins in mg/dL was higher in term infants 14.32 versus 12.33 in late preterm infants;this difference is statistically significant with a p value of 0.004. Admission to the NICU is more frequent in late preterm infants with a p-value of 0.000, being 42.16% for late preterm infants vs. 7.84% in term infants;the mean of the hospital days with p-value 0.005, was higher in late preterm infants 4.97 days vs. 3.55 days for term newborns. Conclusion: Due to the conditions of their immaturity, late preterm infants are 2.86 times more likely to present early sepsis than full-term newborns. It is shown that late preterm infants are 2.69 times more likely to have respiratory distress syndrome compared to term infants, therefore, late preterm infants have a longer hospital stay of 4.97 days versus 3.55 days in term infants. Jaundice and mean bilirubin levels are higher in term infants due to blood group incompatibility and insufficient breastfeeding.展开更多
目的研究足月新生儿高胆红素血症(hyperbilirubinemia in term newborns,HITN)患儿接受抚触+光疗后的治疗效果。方法选择威海市立医院2019年1月—2021年4月收治的80例HITN患儿进行研究,采用数字随机法将HITN患儿分为甲组(40例,光疗)与乙...目的研究足月新生儿高胆红素血症(hyperbilirubinemia in term newborns,HITN)患儿接受抚触+光疗后的治疗效果。方法选择威海市立医院2019年1月—2021年4月收治的80例HITN患儿进行研究,采用数字随机法将HITN患儿分为甲组(40例,光疗)与乙组(40例,抚触+光疗),对比两组研究治疗效果。结果甲组治疗后首日、治疗后2 d、治疗后3 d胆红素指标为(221.35±1.11)、(207.36±0.14)、(184.36±0.14)μmol/L;乙组治疗后首日、治疗后2 d、治疗后3 d胆红素指标为(214.36±1.03)、(200.36±0.36)、(178.36±0.36)μmol/L,差异有统计学意义(t=29.194、114.615、98.241,P<0.05)。结论HITN治疗中对其实施抚触+光疗,可以减少治疗过程中不良因素对HITN患儿的刺激,改善其生理指征状况,提高其光疗耐受性,优化其临床治疗指标。展开更多
目的探讨窒息新生儿血乳酸水平与临床预后的关系。方法采用GEM Premier 3000分析仪对133例足月窒息新生儿生后1、9h动脉血乳酸水平进行测定,观察其与新生儿神经行为评分(NBNA评分)及其不良预后的关系。结果正常对照组、轻度窒息组与重...目的探讨窒息新生儿血乳酸水平与临床预后的关系。方法采用GEM Premier 3000分析仪对133例足月窒息新生儿生后1、9h动脉血乳酸水平进行测定,观察其与新生儿神经行为评分(NBNA评分)及其不良预后的关系。结果正常对照组、轻度窒息组与重度窒息组新生儿在生后1h的血乳酸水平为(3.56±0.8)mmol/L、(8.32±4.6)mmol/L和(12.13±4.4)mmol/L,P<0..01,在生后9h为(1.52±0.5)mmol/L、(3.4±1.0)mmol/L和(6.3±1.8)mmol/L,P<0.05;在生后2周的NBNA评分为(37.9±2.1)、(33.0±4.3)和(27.4±3.2),P<0.01,在生后3周为(38.3±1.5)、(37.2±1.6)和(33.1±2.7),P<0.01。结论窒息越严重,血乳酸水平越高,NBNA评分越低,不良预后越多。展开更多
文摘Background: To examine the differences in prevalence of respiratory distress syndrome, early-onset sepsis and jaundice, between late preterm infants versus term infants in Ecuadorian newborns. Methods: Study design: Epidemiological, observational, and cross-sectional, with two cohorts of patients. Settings: IESS Quito Sur Hospital at Quito, Ecuador, from February to April of 2020. Participants: This study included 204 newborns, 102 preterm infants, 102 term infants. Results: There are significant differences between late preterm infants and term infants, with a p-value of 0.000 in the prevalence of early sepsis, 70.59% vs. 35.29%. In respiratory distress syndrome between late and term premature infants, significant differences were observed with a p-value of 0.000, the proportion being 55.58% vs. 24.51% respectively. The prevalence of jaundice is higher in term infants with a p value of 0.002, 72.55%, versus 51.96% in late preterm infants, and the mean value of bilirubins in mg/dL was higher in term infants 14.32 versus 12.33 in late preterm infants;this difference is statistically significant with a p value of 0.004. Admission to the NICU is more frequent in late preterm infants with a p-value of 0.000, being 42.16% for late preterm infants vs. 7.84% in term infants;the mean of the hospital days with p-value 0.005, was higher in late preterm infants 4.97 days vs. 3.55 days for term newborns. Conclusion: Due to the conditions of their immaturity, late preterm infants are 2.86 times more likely to present early sepsis than full-term newborns. It is shown that late preterm infants are 2.69 times more likely to have respiratory distress syndrome compared to term infants, therefore, late preterm infants have a longer hospital stay of 4.97 days versus 3.55 days in term infants. Jaundice and mean bilirubin levels are higher in term infants due to blood group incompatibility and insufficient breastfeeding.
文摘目的研究足月新生儿高胆红素血症(hyperbilirubinemia in term newborns,HITN)患儿接受抚触+光疗后的治疗效果。方法选择威海市立医院2019年1月—2021年4月收治的80例HITN患儿进行研究,采用数字随机法将HITN患儿分为甲组(40例,光疗)与乙组(40例,抚触+光疗),对比两组研究治疗效果。结果甲组治疗后首日、治疗后2 d、治疗后3 d胆红素指标为(221.35±1.11)、(207.36±0.14)、(184.36±0.14)μmol/L;乙组治疗后首日、治疗后2 d、治疗后3 d胆红素指标为(214.36±1.03)、(200.36±0.36)、(178.36±0.36)μmol/L,差异有统计学意义(t=29.194、114.615、98.241,P<0.05)。结论HITN治疗中对其实施抚触+光疗,可以减少治疗过程中不良因素对HITN患儿的刺激,改善其生理指征状况,提高其光疗耐受性,优化其临床治疗指标。
文摘目的探讨窒息新生儿血乳酸水平与临床预后的关系。方法采用GEM Premier 3000分析仪对133例足月窒息新生儿生后1、9h动脉血乳酸水平进行测定,观察其与新生儿神经行为评分(NBNA评分)及其不良预后的关系。结果正常对照组、轻度窒息组与重度窒息组新生儿在生后1h的血乳酸水平为(3.56±0.8)mmol/L、(8.32±4.6)mmol/L和(12.13±4.4)mmol/L,P<0..01,在生后9h为(1.52±0.5)mmol/L、(3.4±1.0)mmol/L和(6.3±1.8)mmol/L,P<0.05;在生后2周的NBNA评分为(37.9±2.1)、(33.0±4.3)和(27.4±3.2),P<0.01,在生后3周为(38.3±1.5)、(37.2±1.6)和(33.1±2.7),P<0.01。结论窒息越严重,血乳酸水平越高,NBNA评分越低,不良预后越多。
