650例早产儿的临床分析

目的回顾分析以往的临床经验,以提高医疗水平,改善早产儿的生存质量。方法对近3年来我院出生的650例早产儿进行回顾性分析。结果本文早产儿并发症以贫血、肺炎、高胆红素血症、低血糖症为主。而出生时其中86.2%属于适于胎龄儿,只有13.8%属于小于胎龄儿(SGA),到出院时34%属于小于胎龄儿,而且纠正胎龄越大发生SGA的百分比越高。结论早产儿生后即应注意维持内环境稳定,保证足够的热卡和蛋白质的供给和各种维生素及微量元素的补充,减少各种并发症的发生,而SGA的发生与疾病、营养及生理体重因素等有关。使早产儿生后的生长速度达到或接近正常胎儿在孕后期相应胎龄的宫内生长速度,减少后遗症的发生是我们努力的方向。

Objective To sum up the of clinical experience of the past to raise the level of health care and improve the quality of life in premature infants. Methods 650 cases of premature infants who were born in our hospital in the pst three years were reviewed. Results In this paper, the main complications of premature infants are anemia, pneumonia, hyperbilirubinemia and hypoglycemia. 86.2% premature infants belong to the appropriate for gestational age when they were born and only 13. 8% premature infants belong to small for gestational age （SGA） when they were bern. When they leave hospital 34% premature infants belong to small for gestational age and the older gestational age to correct, the higher percentage of SGA. Conclusion As soon as premature infants were born, we should pay attention to maintain homeostasis, ensure supply adequate caloric and protein and supply various kinds of vitamins and trace elements to reduce the occurrence of complications. The occurrence of SGA relate to the factores of diseases, nutrition, and physiological weight and so on. To make the premature infants＇ growth rate after they were born reach of close to the intrauterine growth rate of late pregnancy corresponding gestational age of normal infants and reduce the occurrence of sequela is our effort direction.