期刊文献+

早产儿脑室周围白质软化临床高危因素分析 被引量:1

Analysis on clinical high risk factors for periventricular leukomalacia in preterm infants
原文传递
导出
摘要 目的:探讨早产儿脑室周围白质软化(PVL)发生的高危因素。方法:对2005年1月1日~2007年7月1日入住我院新生儿一科确诊为PVL的早产儿42例(PVL组)和无PVL的早产儿40例(对照组)进行回顾性分析。结果:PVL组与对照组危险因素的单因素分析表明:两组新生儿胎膜早破、窒息、感染、酸中毒、入院1 h动脉氧分压、入院3天内动脉二氧化碳分压、机械通气时间有显著性差异。多因素logistic回归分析表明胎膜早破、窒息、感染、低氧血症和低碳酸血症是PVL的主要危险因素。结论:胎膜早破、窒息、感染、酸中毒、机械通气时间、低氧血症和低碳酸血症是早产儿PVL的高危因素。 Objective: The explore the high risk factors for periventricular leukomalacia (PVL) in preterm infants. Methods: A retrospective analysis was carried out on 42 preterm infants with PVL and 40 preterm infants without PVL from January 1, 2005 to July 1, 2007. Results: There was significant difference in premature rupture of membranes (PROM), asphyxia, infection, acidosis, PaO2 (with- in the first 24 hours of hospitalization), PaCO2 (within the first 3 days of hospitalization) and mechanical ventilation between PVL group and control group. The main risk factors for PVL were PROM, asphyxia, infection, hypoxemia and hypocapnia indicated by the logistic regression analysis. Conclusion: PROM, asphyxia, infection, hypoxemia, hypocapnia are high risk factors for preterm infants with PVL.
出处 《中国妇幼保健》 CAS 北大核心 2009年第13期1807-1808,共2页 Maternal and Child Health Care of China
关键词 早产儿 脑室周围白质软化 高危因素 Preterm infants Periventricular leukomalacia High risk factors
  • 相关文献

参考文献7

  • 1Volpe J J. Neurobiology of periventricular leukomalacia in lhe premature infant [J] .Pediatr Res, 2001, 50 (5): 553.
  • 2Resch B, Vollaard E, Maurer U et nl. Risk factors and determinants of neurodevelopmental outcome in cystic periventricular leukomalacia [ J] . Eur J pcdiatr, 2000, 159 (9) : 663.
  • 3毛健.早产儿脑白质损伤的有关问题[J].中国实用儿科杂志,2002,17(7):386-389. 被引量:29
  • 4Ballabh P, Braun A, Nedergaard M. Anatomic analysis of blood vesaels in germinal matrix, cerebral cortex, and white matter in developing infants [J] . Pediatr IRes, 2004, 56 (1) : 117.
  • 5Goepfert AR, Andrews WW, Carlo W et al. Umbilical cord plasma interleukin -6 concentrations in preterm infants and risk of neonatal morbidity [J]. Am J obstet Gynecol, 2004, 191 (4) : 1375.
  • 6Erickson S J, Grauag A, Gurrn Let al. Hypoearbia in the ventilated preterm infant and its effect on intraventrieular haemorrhage and bron- chopulmonary dysplasia [ J ] . J Paediatr Child Health, 2002, 38 (6) : 560.
  • 7Okumura A, Hayakawa F, Kato T et al Hypoearbia in preterm infants with periventrieular leukomalacia: the relation between hypoearbia and mechanical ventilation [J] . Pediatrics, 2001, 107 (3) : 469.

二级参考文献9

  • 1[1]Paneth N.Classifying brain damage in preterm infant.Journal of Pediatrics,1999,134(5):5127
  • 2[2]Perlman JM. White matter injury in the preterm infant: an important determination of abnormal neurodevelopment outcome.Early Human Development,1998,53(2):99
  • 3[3]Volpe JJ.Neurology of the Newborn,third edition.Philadelphia,PA:W.B.Saunders,1995.294
  • 4[4]Inder TE,Huppi PS,Zientara GP,et al.Early detection of periventricular leukomalacia by diffusion-weighted magnetic resonance imaging techniques.Journal of Pediatrics,1999,134(5):631
  • 5[5]Dammann O,Leviton A.Role of the fetus in perinatal infection and neonatal brain damage.Current Opinion in Pediatrics,2000,12(2):99
  • 6[6]Pierrat V,Duquennoy C,Van Hasstert G,et al.Ultrasound diagnosis and neurodevelopmental outcome of localized and extensive periventricular leukomalacia.Arch Dis Child Fetal Neonatal Ed,2001,84(3):F151
  • 7[7]Baud QI,D ' Allest AM,Lacazi-Masmonteil J,et al.The early diagnosis of periventricular leukomalacia in premature infants with positive rolandic sharp waves on serial electroencephalopathy.Journal of Pediatrics,1998,192(5):813
  • 8[8]Collins MP,Lorenz JM,Jetton JR,et al.Hypocapnia and other ventilation-related risk factor for cerebral palsy in low birth weight infants.Pediatric Research,2001,50(6):712
  • 9[9]Fritzi KI,Ashraf QM,Mishra OP,et al.Effect of moderate hypocapnia ventilation on nuclear DNA fragmentation and energy metabolism in the cerebral cortex of newborn piglets.Pediatric Research,2001,50(5):586

共引文献28

同被引文献16

引证文献1

二级引证文献17

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部