晚期早产儿并发症及护理的研究

Nursing care exploration for clinical complications of the late - preterm infant

目的分析晚期早产儿临床并发症发生情况，探讨晚期早产儿护理管理策略。方法选择2005--2010年菏泽市立医院新生儿科收治的胎龄满34周而不足37周的312例晚期早产儿作为实验组，同时期本院产科出生的足月新生儿作为对照组，比较两组新生儿临床征象变化，实验室相关检查，分析其临床并发症发生情况。结果312例晚期早产儿中并发症发生率为83．3％，其中有87例发生了两种或以上并发症，占27．9％。晚期早产儿病理性黄疸发生率为65．7％，足月新生儿为33．5％，两组比较差异有统计学意义（X2=35．772，P〈0．05），其余9项并发症差异均有统计学意义（P〈0．05）。晚期早产儿组较足月新生儿更易发生呼吸系统并发症，两组新生几呼吸窘迫综合征（NRDS）、新生儿肺炎发生率比较差异有统计学意义（x2分别为24．762，9．720；P〈0．05）。结论晚期早产儿较足月新生儿易发生临床并发症，应该重视晚期早产儿的治疗和护理，并制定相应的护理与治疗策略。

Objective To analyse clinical complications of the late-preterm infants so as to explore the care strategies for them. Methods Totals of 312 late-preterm infants were experiment group in newborn department of Heze Municipal Hospital from January 2005 to December 2010 and fnll term infants berned in same time were control group. The clinical manifestations such as blood glucose, jaundice, the conditions of blood, urine, excrement and so on , and clinical complications of all infant were observed and compared. Results Among 260 cases （83.3%） of 312 late-preterm infants had complications,87 cases had more than two kinds of complications. The occurrence rate of pathological jaundice of late-preterm infants was 65. 7% significantly higher than 33.5% that of full term infants （ x2 = 35. 772, P 〈 0.05 ）, and there was significantly different in other 9 kinds of complications （ P 〈 0. 05 ）. Conclusions Late-preterm infants have more complications than full term infants, so it is important to attention the treatment and nursing for late-preterm infants.