73例早产儿颅内出血危险因素分析

Risk factors of 73 premature infants of intracranial hemorrhage

目的:探讨导致早产儿颅内出血(ICH)的相关危险因素。方法:分析本院2002年5月～2008年5月收治73例早产儿颅内出血的患儿的资料,并与同期住院54例无颅内出血早产儿作为对照组。分析两组患儿和产妇的情况,统计分析出早产儿颅内出血发病的危险因素。结果:早产儿颅内出血的发生与孕周、体重、Apgar评分、出生后患儿发生抽搐、应用机械通气以及是否应用多巴胺有关。结论:临床对小胎龄(孕周<35周)、低体重、宫内窘迫、Apgar评分低、出生后患儿抽搐、应用机械通气、应用多巴胺是早产儿颅内出血的高危因素,应提高对其可能发生颅内出血的预见性,医护人员应及早采取预防措施。

Objective： To investigate the cause of intracranial hemorrhage（ICH）in premature infants associated risk factors. Methods： Analysised the information with 73 premature infants of intracranial hemorrhage in our hospital from May 2002 to May 2008 and 54 cases of non-hospital intracranial hemorrhage in premature infants as the control group in the same period.Analysised the two groups in children and maternal conditions,statistical analysised out of the risk factors in the in- cidence of intracranial hemorrhage in premature infants.Results：The occurrence of intracranial hemorrhage in premature infants were with gestational age, weight, Apgar score, occurred in children with convulsions after birth,mechanical ventila- tion and whether the application of dopamine on.Conclusion：The clinical for small gestational age （gestational age below 35 weeks）,low birth weight, fetal distress, Apgar score low, after the birth of children with seizures, use mechanical ventilation, application of dopamine in preterm infants with intracranial hemorrhage risk factors should be increased to its occurrence intracranial hemorrhage may be the predictability, medical staff should take early preventive measures.