儿科药学杂志2012，Vol.18Issue(12)：3-5,3.
早产儿脑室周围-脑室内出血影响因素分析
Incidence of Peri-Intraventricular Haemorrhage and Its Associated Factors in Preterm Infants
摘要
Abstract
Objective; The aim of this study was to investigate the prevalence and potential risk factors of Peri/intraventricular hemorrhage (PIVH) in preterm infants. Methods: The studied population comprised 1,079 preterm infants treated at the Xuzhou Women and Children' s Health Care Hospital between January 1, 2011 to December 31, 2011. Haemorrhage was diagnosed on the basis of repeated ultrasounds performed between the first 48 and 72 hours of life. The relation between the incidence of PIVH and obstetrical risk factors were analyzed by contingency tables. Results: The investigations showed the incidence of haemorrhages was 63. 3% (683 infants). The 546 (79.9%) cases were diagnosed as PIVH I, 122 (17.9%) as PIVH II and 15 (2.2%) as PIVH III. A large percentage of cases had no clinical manifestations. With the decreasing of the gestational age, birth weight and Apgar score, the incidence of PIVH was increased (P<0. 01). The probability of PIVH in 34 ~ 36 weeks, 31 ~ 33 weeks and 28 ~ 30 weeks preterm infants was 60. 6%, 66.7% and 75.0% respectively; 56. 2% in weight >2,500 g, 65. 0% in weight 1,500 ~ 2,500 g and 80. 2% in weight <1,500 g; 57.2% with Apgar scores 8-10 points, 82.0% with 4 ~7 points and 88.9% with 0 ~3 points. Conclusions: (1) The incidence of PIVH was very high. This study suggests that ultrasound screening should be reserved to all premature infants. (2) The incidence of PIVH is related to gestational age, birth weight and perinatal asphyxia in preterm infants.关键词
早产儿/脑室周围-脑室内出血/头颅B超Key words
Preterm infants/ PIVH/ Transfontanellar ultrasonography分类
医药卫生引用本文复制引用
庞永红,王建梅,卢青,邓晓毅,刘松林,丁玉红..早产儿脑室周围-脑室内出血影响因素分析[J].儿科药学杂志,2012,18(12):3-5,3.基金项目
江苏省徐州市卫生局科研课题(编号:XWJ2011049). （编号:XWJ2011049）
