極低出生體質(zhì)量?jī)狠斞嚓P(guān)危險(xiǎn)因素分析
本文選題：極低出生體質(zhì)量?jī)?/strong> + 貧血 ； 參考：《臨床兒科雜志》2017年09期
【摘要】：目的分析極低出生體質(zhì)量?jī)狠斞嚓P(guān)危險(xiǎn)因素并探討貧血預(yù)防策略。方法選擇2015年1月至2016年6月收治的胎齡37周且出生體質(zhì)量1 500 g的新生兒,根據(jù)是否輸血分成輸血組和非輸血組,比較兩組的一般狀況、并發(fā)癥等,同時(shí)分析影響輸血的危險(xiǎn)因素及與輸血量相關(guān)的因素。結(jié)果納入150例極低出生體質(zhì)量?jī)?輸血組108例、非輸血組42例。與非輸血組相比,輸血組的胎齡及出生體質(zhì)量更小,基礎(chǔ)血紅蛋白更低,腸外營(yíng)養(yǎng)時(shí)間更長(zhǎng),住院采血總量更多,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);輸血組的支氣管肺發(fā)育不良(BPD)、急性呼吸窘迫綜合征(ARDS)、動(dòng)脈導(dǎo)管未閉(PDA)的發(fā)生率高于非輸血組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。線(xiàn)性回歸分析示胎齡、出生體質(zhì)量越小,腸外營(yíng)養(yǎng)時(shí)間越長(zhǎng),住院采血總量越多,則輸血量越大(P0.05)。結(jié)論極低出生體質(zhì)量?jī)旱奶g、出生體質(zhì)量、腸外營(yíng)養(yǎng)時(shí)間及住院采血總量等對(duì)輸血風(fēng)險(xiǎn)及輸血量存在不同程度的影響,輸血患兒BPD、RDS、PDA的發(fā)病率更高。
[Abstract]:Objective to analyze the risk factors associated with blood transfusion in very low birth weight infants and to explore the preventive strategies for anemia.Methods Neonates with gestational age of 37 weeks and birth weight of 1 500 g were selected from January 2015 to June 2016. According to whether blood was transfusion or not, they were divided into two groups: blood transfusion group and non-transfusion group. The general status and complications of the two groups were compared.At the same time, the risk factors of blood transfusion and the factors related to the volume of blood transfusion were analyzed.Results 150 cases of very low birth weight infants were included, 108 cases in transfusion group and 42 cases in non-transfusion group.Compared with the non-transfusion group, the blood transfusion group had smaller gestational age and birth weight, lower basal hemoglobin, longer time of parenteral nutrition and more total blood collection in hospital.The incidence of bronchopulmonary dysplasia, acute respiratory distress syndrome (ARDS) and patent ductus arteriosus (PDAs) in the transfusion group was significantly higher than that in the non-transfusion group (P 0.05).The linear regression analysis showed that the smaller the birth weight, the longer the parenteral nutrition time and the more the total amount of blood collected in hospital, the larger the blood transfusion volume was.Conclusion the gestational age, birth weight, parenteral nutrition time and the total amount of blood collected in patients with very low birth weight have different effects on blood transfusion risk and blood transfusion volume. The incidence of BPD-RDS PDA is higher in children with very low birth weight.
【作者單位】： 浙江大學(xué)醫(yī)學(xué)院附屬婦產(chǎn)科醫(yī)院新生兒科;
【分類(lèi)號(hào)】：R722.6
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