妇儿健康导刊2024,Vol.3Issue(16):195-198,封3,5.
极早产儿出生后1周发生低磷血症的危险因素分析
Analysis of risk factors for hypophosphatemia at 1 week after birth in extremely premature infants
许马利 1王杨1
作者信息
- 1. 安徽医科大学第一附属医院儿科,安徽合肥 230022
- 折叠
摘要
Abstract
Objective To analyze the risk factors for hypophosphatemia at 1 week after birth in extremely premature infants.Methods A total of 79 extremely premature infants admitted to the First Affiliated Hospital of Anhui Medical University from January 2020 to December 2021 were selected as the research objects.According to the presence or absence of hypophosphatemia at 1 week after birth,they were divided into hypophosphatemia group(n=36)and normal serum phosphorus group(n=43).Univariate and multivariate logistic regression analysis were used to analyze the risk factors of hypophosphatemia,and the receiver operating characteristic(ROC)curve was used to analyze the early predictive value of related indicators for hypophosphatemia.Results Univariate analysis showed that the birth weight of hypophosphatemia group was lower than that of normal phosphorus group(P=0.001).The prevalence rate of gestational hypertension in the hypophosphatemia group was higher than that in the normal phosphorus group(P=0.044).The proportion of premature rupture of membranes>18 h in the hypophosphatemia group was higher than that in the normal phosphorus group(P=0.002).The serum creatinine at 7 days after birth level of hypophosphatemia group was lower than that of normal phosphatemia group(P=0.034).The multivariate analysis showed that birth weight was a protective factor for hypophosphatemia at 1 week after birth in extremely premature infants(P<0.05).ROC curve analysis showed that the area under the curve of birth weight predicting hypophosphatemia was 0.893,the sensitivity was 0.767,and the specificity was 0.917.Conclusion The lower the birth weight,the higher the likelihood of hypophosphatemia within 1 week of birth of extremely premature infants.关键词
极早产儿/低磷血症/危险因素Key words
Extremely premature infant/Hypophosphatemia/Risk factor分类
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许马利,王杨..极早产儿出生后1周发生低磷血症的危险因素分析[J].妇儿健康导刊,2024,3(16):195-198,封3,5.