本文選題：新生兒期　切入點(diǎn)：新生兒后期　出處：《中國(guó)循證兒科雜志》2017年04期 　論文類型：期刊論文

【摘要】：目的通過(guò)調(diào)查新生兒期(0~28 d)、新生兒后期(~100 d)和改良嬰兒期(~1歲)病死率和死因譜,為新生兒后期新概念提供初步的臨床證據(jù)支持。方法在中國(guó)西部新生兒協(xié)作網(wǎng)采用整群隨機(jī)抽樣方法抽取14家醫(yī)院,采用回顧性橫斷面調(diào)查方法,采集14家醫(yī)院2004年1月至2013年12月住院嬰兒新生兒期、新生兒后期和改良嬰兒期的第一出院的或病死的診斷。結(jié)果在10年期間,共有155 463例住院嬰兒進(jìn)入本文分析,死亡959例,病死率為6.16‰;新生兒期、新生兒后期和改良嬰兒期病死率分別為10.1‰、6.9‰和2.6‰,新生兒后期與新生兒期和改良嬰兒期差異均有統(tǒng)計(jì)學(xué)意義。新生兒期632例死亡病例中前6個(gè)死亡原因依次為新生兒窒息、新生兒呼吸窘迫綜合征(NRDS)、先天心臟病(CHD)、早產(chǎn)相關(guān)疾病(PAD)、嬰兒猝死綜合征(SIDS)和肺炎,新生兒后期148例死亡病例中前6個(gè)死亡原因依次為肺炎、CHD、PAD、腹瀉、SIDS和維生素K1缺乏,改良嬰兒期188例死亡病例中前6個(gè)死亡原因依次為肺炎、CHD、意外傷害、SIDS、PAD和腹瀉。新生兒期、新生兒后期和改良嬰兒期同時(shí)出現(xiàn)的死因性疾病PAD、肺炎、SIDS和CHD,病死率最高是新生兒后期(P0.001)。結(jié)論在未校正胎齡和喂養(yǎng)方式混雜因素的情況下,新生兒后期疾病病死率及其病因具有特殊性,可能具有特別的臨床意義。
[Abstract]:Objective to investigate the mortality and cause of death of the newborn at 28 days, 100 days in the later stage of the newborn and 1 year old in the modified infancy. Methods 14 hospitals were selected by cluster random sampling in western China, and retrospective cross-sectional survey was used. From January 2004 to December 2013, a total of 155,463 hospitalized infants were included in the analysis, including the diagnosis of the first discharge or death of the newborn, the late neonatal period and the modified infantile period. Results there were 959 cases of death and 155,463 hospitalized infants entered the analysis in this paper during the period of 10 years. The mortality rate was 6.16 鈥，

本文編號(hào)：1600533