中国当代儿科杂志2025，Vol.27Issue(3)：269-278,10.DOI:10.7499/j.issn.1008-8830.2410006
不同救治态度对超早产儿生存的影响及不良临床结局
Impact of different treatment attitudes on survival and risk factors for poor clinical outcomes in extremely preterm infants:a retrospective real-world study
摘要
Abstract
Objective To explore the impact of different treatment attitudes on the survival status of extremely preterm infants(EPIs)and evaluate the mortality and occurrence of severe complications in actively treated infants,as well as their risk factors.Methods A retrospective analysis was conducted on perinatal data of EPIs born between January 1,2016,and December 31,2023,who were admitted to the neonatal intensive care unit of Nanjing Women and Children's Healthcare Hospital within 24 hours after birth.The analysis focused on the attributable risk of mortality associated with different treatment attitudes in EPIs of varying gestational ages and birth weights.A multivariate logistic regression model was used to analyze the risk factors for mortality and severe complications in the actively treated group.Results A total of 485 EPIs were included.As gestational age or birth weight increased,the attributable risk of mortality with care withdrawal increased.Active treatment significantly improved the survival status of EPIs born at a gestational age of≥24 weeks.Multivariate logistic regression analysis indicated that lower gestational age and the need for mechanical ventilation within 72 hours after birth were independent risk factors for mortality or severe complications in EPIs(P<0.05).Conclusions Active treatment can significantly extend the survival time of EPIs born at a gestational age of≥24 weeks.Lower gestational age and the need for mechanical ventilation within 72 hours after birth are closely associated with poor survival outcomes in EPIs.关键词
积极治疗/死亡/并发症/危险因素/超早产儿Key words
Active treatment/Mortality/Complication/Risk factor/Extremely preterm infant引用本文复制引用
李萌萌,李书书,钱苗,张敏,韩树萍..不同救治态度对超早产儿生存的影响及不良临床结局[J].中国当代儿科杂志,2025,27(3):269-278,10.基金项目
国家自然科学基金面上项目(82271744) （82271744）
江苏省卫生健康委员会省妇幼保健项目(F202309) （F202309）
南京医科大学科技发展基金(NMUB20220094) （NMUB20220094）
南京市卫生科技发展专项资金项目(YKK21160). （YKK21160）
