浙江医学2017，Vol.39Issue(21)：1887-1890,4.DOI:10.12056/j.issn.1006-2785.2017.39.21.2017-637
不同胎龄新生儿呼吸窘迫综合征临床特征分析
Clinical features of neonatal respiratory distress syndrome in newborns of different gestational age
杜勇 1钱燕 1陈新2
作者信息
- 1. 325000 温州医科大学附属第一医院儿科
- 2. 325000 温州医科大学附属第一医院消化科
- 折叠
摘要
Abstract
Objective To investigate clinical characteristics and risk factor of neonatal respiratory distress syndrome (NRDS) in newborns of different gestational age.Methods Clinical data of 122 newborns with neonatal respiratory distress syndrome were retrospectively analyzed,including 93 cases with gestational age＜34 weeks (early preterm group) and 29 cases with gestational age ＜37 weeks (late preterm group).The basic conditions,perinatal high risk factors,treatment and complications of the two groups were compared.Results There were no significant differences in durations of mechanical ventilation,synchronized intermittent mandatory ventilation (SIMV) and nasal continuous positive airway pressure (nCPAP) between two groups(all P ＞0.05).But the time of oxygen therapy and the length of hospital stay in early preterm group was longer than those in late preterm group (all P＜0.05).The condition of NRDS was more serious and the requirement of reuse pulmonary surfactant was more common in late preterm group than those in early preterm group (P＜0.05).The risks of pulmonary infection,bronchopulmonary dysplasia,septicemia and blood transfusion in early preterm infants were higher than those in late preterm group(all P＜0.05).But there were no significant differences in the incidence of intracranial hemorrhage,patent ductus arteriosus,cardiac insufficiency and pneumothorax between the two groups (all P ＞0.05).Conclusion NRDS predominantly occurs in early preterm infants.The clinical characteristics,complications and treatment responses of NRDS with different gestational age are different.So gestational age should be considered for diagnose and treatment.关键词
早产儿/呼吸窘迫综合征/胎龄/临床特征Key words
Preterm infants/Neonatal respiratory distress syndrome/Gestational age/Clinical feature引用本文复制引用
杜勇,钱燕,陈新..不同胎龄新生儿呼吸窘迫综合征临床特征分析[J].浙江医学,2017,39(21):1887-1890,4.
