妇儿健康导刊2024，Vol.3Issue(4)：45-48,4.
97例超早产儿的临床结局分析
Analysis of clinical outcomes of 97 cases of extremely preterm infants
摘要
Abstract
Objective To analyze the clinical outcomes of 97 cases of extremely preterm infants(EPI).Methods A total of 97 EPI admitted to the Neonatal Intensive Care Unit of Affiliated Maternity and Child Health Hospital of Nantong University from January 2019 to December 2022 were selected.The complications and clinical outcomes were analyzed.Results The high incidence of EPI-related complications were neonatal respiratory distress syndrome,neonatal pneumonia,broncho-pulmonary dysplasia(BPD),intraventricular hemorrhage(IVH)and retinopathy of prematurity(ROP).Among 97 cases of EPI,56 cases(57.73%)survived.Forty-one cases were declared dead after rescue failure or abandoned treatment in hospital,the mortality rate was 42.27%.The survival rate of EPI at gestational age of 26-27+6 weeks was higher than that at gestational age<26 weeks,and the survival rate of EPI at weight≥1 kg was higher than that at weight<1 kg EPI(P<0.05).The incidence of BPD,ROP and patent ductus arteriosus in survival group was higher than that in death group,and the incidence of pulmonary hemorrhage and grade Ⅲ and Ⅳ IVH in survival group was lower than that in death group(P<0.05).Conclusion Although the treatment level of EPI has been continuously improved,the survival rate is still low and the complication rate is high.The treatment of EPI needs to strengthen multidisciplinary cooperation,perinatal management and comprehensive EPI management,so as to jointly promote the early healthy development of EPI,reduce the fatality rate and improve the quality of life.关键词
超早产儿/存活率/并发症/临床结局Key words
Extremely preterm infant/Survival rate/Complication/Clinical outcome分类
医药卫生引用本文复制引用
周美云,张凡,钱元原..97例超早产儿的临床结局分析[J].妇儿健康导刊,2024,3(4):45-48,4.基金项目
江苏省南通市科技计划项目(JC2021047) （JC2021047）
江苏省南通市卫生健康委员会科研课题(MSZ2022049). （MSZ2022049）
