晚期早产儿发生率及围生期临床问题分析.pdf

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1、·临床研究·中国当代医药2014年9月第21卷第26期晚期早产儿发生率及围生期临床问题分析柳锡永徐兰飞金志彪吴燕季留青浙江省义乌市妇幼保健院儿科，浙江义乌322000【摘要】目的了解晚期早产儿发生率及其围生期临床问题。方法采用流行病学调查方法，分析2012年1月～2013年12月的晚期早产儿的发生率；并将晚期早产儿与足月儿作为观察对象，分析其围生期临床问题。结果晚期早产儿的发生率为8．15％，占全部早产儿的82．34％。晚期早产儿组男孩比例、出生体质量<2500g的新生儿比例、出生时窒息发生率、出生后新

2、生儿科住院率均明显高于足月儿组(P<0．01)。转入新生儿科的晚期早产儿组高胆红素血症、低体温、低血糖、贫血、喂养不耐受、感染、暂时性呼吸增快、呼吸窘迫、呼吸暂停的发生率以及辅助通气的使用率均明显高于足月儿组(P<0．01)。结论晚期早产儿发生率较高，比足月儿有更高的新生儿科住院率和更多的围生期问题，应重视晚期早产儿的临床管理。【关键词】晚期早产儿；围生期；流行病学【中图分类号】R722．6【文献标识码】A【文章编号】1674-4721(2014)09(b)-0022-03Incidenceoflate

3、preterminfantsandclinicalproblemanalysisduringperinatalperiodLIUXi-yongXULQn_feijINZhi—biaoWUYahJlLiu—qingDepartmentofPediatrics，MaternalandChildHealthHospitalofYiwuCityinZhejiangProvince，Yiwu322000，China【Abstract】0bjectiveTounderstandtheincidencerateofl

4、atepreterminfantsandclinicalproblemsduringperinatalperiod．MethodsByepidemiologicalinvestigation，theincidencerateoflatepreterminfantsfromJanuary2012toDe—cember2013wasanalyzed．Thelatepreterminfantsandfull-terminfantswereselectedastheobservationsubjectsinor

5、dertoanalyzetheirclinicalproblemsduringperinatalperiod．ResultsTheincidencerateoflatepreterminfantswas8．15％accountingfor82．34％inallprematureinfants．Percentageofboy．proportionofnewbornswithbodyweightlessthan2500g,incidencerateofneonatalasphyxia，andhospital

6、izationrateinneonatologydepartmentafterbirthinlatepreterminfantgroupwereallmuchhigherthanthoseinterminfantgroupf<0．01)．Incidencerateofhyperbilirubine—mia，hypothermia，hypoglycemia，anemia，feedingintolerance，infection，transienttachypnea，respiratorydistress，

7、andapneaandutilizationrateofassistedventilationinlatepreterminfantgrouptrans~rringtoneonatologydepartmentwereallhigherthanthoseintheterminfantgroupf尸<0．01)．ConclusionAhighincidenceoflatepreterminfanthasbeenfoundbythestudy．Latepreterminfanthasahigherhospi

8、talizationrateinneonatologydepartmentandmoreclinicalproblemsduringperinatalperiodincomparisonwiththoseintheterminfantgroup．Clinicalmanagementoflatepreterminfantshouldbepaidattention．【Keywords】Latepreterminfant；Perinatalper